NPIMap

Organization Active NPI

Progressive Behavior Systems PA

  • Developmentally Disabled Services Day Training Agency
  • Rupert, ID
National Provider Identifier
1932396900
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PROGRESSIVE BEHAVIOR SYSTEMS PA
Practice address
512 6TH St
Rupert, ID 83350-1621
Phone
(208) 436-4911
Fax
(208) 436-1758
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Mr. Jerrod Catmull
Title
Owner
Phone
(208) 312-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X ID Primary

Addresses

Primary practice location

512 6TH St
Rupert, ID 83350-1621

Mailing address

PO Box 714
Rupert, ID 83350-0714
Phone (208) 436-4911

National Provider Directory

National Provider Directory
Tax ID family
Progressive Behavior Systems PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

512 6th St
Rupert, ID 83350
Phone (208) 436-4911

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1932396900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833500714",
            "telephone_number": "208-436-4911",
            "fax_number": "208-436-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 6TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501621",
            "telephone_number": "208-436-4911",
            "fax_number": "208-436-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE BEHAVIOR SYSTEMS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "CATMULL",
        "authorized_official_first_name": "JERROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-312-1911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.