NPIMap

Organization Active NPI

Supportive Community Innovations

  • Behavior Analyst
  • Nashville, IN
National Provider Identifier
1902265267
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUPPORTIVE COMMUNITY INNOVATIONS
Practice address
9900 Gilmore Ridge Rd
Nashville, IN 47448-9731
Phone
(812) 322-0313
NPI assigned
Feb 15, 2016
Last updated
Jul 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Arthur F Kruggel IV, MS, BCBANPI 1952484057
Title
Owner
Phone
(812) 322-0313

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

9900 Gilmore Ridge Rd
Nashville, IN 47448-9731

Mailing address

9900 Gilmore Ridge Rd
Nashville, IN 47448-9731
Phone (812) 322-0313

National Provider Directory

National Provider Directory

Locations

620 H St
Ste 102
Bedford, IN 47421
Phone (812) 322-0313

227 W Grimes Ln
Bloomington, IN 47403
Phone (812) 322-0313

2558 Waterbridge Way
Evansville, IN 47710
Phone (812) 322-0313

Practitioners & affiliated clinicians

Practitioners 100

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.

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1902265267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 GILMORE RIDGE RD",
            "city": "NASHVILLE",
            "state": "IN",
            "postal_code": "474489731",
            "telephone_number": "812-322-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 GILMORE RIDGE RD",
            "city": "NASHVILLE",
            "state": "IN",
            "postal_code": "474489731",
            "telephone_number": "812-322-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE COMMUNITY INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "KRUGGEL",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-322-0313",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.