NPIMap

Organization Active NPI

Iris Behavioral Health Services LLC

  • Behavior Analyst
  • Watertown, CT
National Provider Identifier
1861176315
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IRIS BEHAVIORAL HEALTH SERVICES LLC
Practice address
1295 Guernseytown Rd
Watertown, CT 06795-1223
Phone
(860) 334-9463
NPI assigned
Jun 14, 2023
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ashley Creem, PHD, BCBA-D, LBANPI 1407368533
Title
Owner/ Executive Director
Phone
(860) 334-9463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1295 Guernseytown Rd
Watertown, CT 06795-1223

Mailing address

1295 Guernseytown Rd
Watertown, CT 06795-1223
Phone (860) 334-9463

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1861176315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 GUERNSEYTOWN RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951223",
            "telephone_number": "860-334-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 GUERNSEYTOWN RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951223",
            "telephone_number": "860-334-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "CREEM",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/ EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-334-9463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.