NPIMap

Organization Active NPI

Tangram, Inc.

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1912950700
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TANGRAM, INC.
Practice address
5155 Pennwood Dr
Indianapolis, IN 46205-1585
Phone
(317) 571-1042
Fax
(317) 571-1043
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Mrs. Connie Dillman
Title
President/Ceo
Phone
(317) 968-9024

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Home Health Agency 251E00000X 060065951 IN

Addresses

Primary practice location

5155 Pennwood Dr
Indianapolis, IN 46205-1585

Mailing address

5155 Pennwood Dr
Indianapolis, IN 46205-1585
Phone (317) 571-1042

Other identifiers 1

IdentifierTypeStateIssuer
100450620MedicaidIN

National Provider Directory

National Provider Directory

Locations

5155 Pennwood Dr
Indianapolis, IN 46205
Phone (317) 571-1042

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1912950700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 PENNWOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051585",
            "telephone_number": "317-571-1042",
            "fax_number": "317-571-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 PENNWOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051585",
            "telephone_number": "317-571-1042",
            "fax_number": "317-571-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "DILLMAN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "317-968-9024",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "060065951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100450620",
            "state": "IN"
        }
    ],
    "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 Apr 11, 2025; 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.