NPIMap

Organization Active NPI

Supportive Systems

  • Community/Behavioral Health Agency
  • Indianapolis, IN
National Provider Identifier
1932460987
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
34001319A Issued in IN
Legal business name
SUPPORTIVE SYSTEMS
Practice address
25 Beachway Dr Ste C
Indianapolis, IN 46224-8506
Phone
(317) 788-4111
NPI assigned
Jun 6, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Rhonda Clair, LCSWNPI 1609204627
Title
Therapist
Phone
(317) 788-4111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 34001319A IN Primary

Addresses

Primary practice location

25 Beachway Dr Ste C
Indianapolis, IN 46224-8506

Mailing address

25 Beachway Dr Ste C
Indianapolis, IN 46224-8506
Phone (317) 788-4111

National Provider Directory

National Provider Directory
Tax ID family
Supportive Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

25 Beachway Dr
Ste C
Indianapolis, IN 46224
Phone (317) 788-4111

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1932460987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BEACHWAY DR STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462248506",
            "telephone_number": "317-788-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BEACHWAY DR STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462248506",
            "telephone_number": "317-788-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "CLAIR",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "317-788-4111",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34001319A",
            "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 Jun 6, 2012; 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.