Katelyn A Tate, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-26-2860890 Issued in IN

Practice address

1061 E Southern Ave
Indianapolis, IN 46203-5214

Phone

(463) 701-0909

Fax

(640) 500-3096

NPI assigned

Oct 15, 2026

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Umbrella Center

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1518631746
  NPD (past)

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1902702210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 E SOUTHERN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035214",
            "telephone_number": "463-701-0909",
            "fax_number": "640-500-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 E SOUTHERN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035214",
            "telephone_number": "463-701-0909",
            "fax_number": "640-500-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "KATELYN",
        "middle_name": "A",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-26-2860890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D Tasch, MD
• Nicole Gersdorff Tasker, MD
• Emmanuella Enjoh Tassi
• Abala Koma Tassike
• Carl Frederick Tate, PHYSICIAN ASSISTANT
• Lara Mitchell Tate, P.A.-C
• Sheena Kate Tatem, AU.D.
• Vivekanand Tatineni, DO
• Bobbie Tatum
• Leslee A Tatum, NP

• Behavior Technician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.