Active NPI
Elissa M Patterson
- Behavior Analyst
- Indianapolis, IN
National Provider Identifier
1912670886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-66357
- Practice address
- 8350 Craig St
Indianapolis, IN 46250-3593 - Phone
- (317) 578-0410
- Fax
- (317) 436-7409
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-66357 | IN | Primary |
Addresses
Primary practice location
8350 Craig St
Indianapolis, IN 46250-3593
Mailing address
4310 E Fall Creek Parkway North Dr
Indianapolis, IN 46205-2514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1912670886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 E FALL CREEK PARKWAY NORTH DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462052514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 CRAIG ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462503593",
"telephone_number": "317-578-0410",
"fax_number": "317-436-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ELISSA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-23-66357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.