Active NPI
Raman Phull
- Behavior Analyst
- Winter Park, FL
National Provider Identifier
1932484730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 6973 University Blvd
Winter Park, FL 32792-2519 - Phone
- (954) 805-8895
- NPI assigned
- Oct 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
6973 University Blvd
Winter Park, FL 32792-2519
Mailing address
12649 NW 18TH MNR
Pembroke Pines, FL 33028-2519
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | r.phull@inbloomautism.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kredo Health LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1932484730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12649 NW 18TH MNR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6973 UNIVERSITY BLVD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922519",
"telephone_number": "954-805-8895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHULL",
"first_name": "RAMAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2021-03-03",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "r.phull@inbloomautism.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6973 University Blvd",
"city": "Winter Park",
"state": "FL",
"country_code": "US",
"postal_code": "327922519",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.