Active NPI
Stride Autism Centers Management, LLC
- Behavior Analyst
- Deerfield, IL
National Provider Identifier
1942839402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- STRIDE AUTISM CENTERS MANAGEMENT, LLC
- Practice address
- 1374 Meadow LN
Deerfield, IL 60015-2835 - Phone
- (847) 322-9377
- NPI assigned
- Apr 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Zelinger
- Title
- Ceo
- Phone
- (847) 322-9377
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Clinical Psychologist | 103TC0700X |
Addresses
Primary practice location
1374 Meadow LN
Deerfield, IL 60015-2835
Mailing address
1374 Meadow LN
Deerfield, IL 60015-2835
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Lincoln, NE
- NPI 1093480048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586131200000",
"number": "1942839402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1374 MEADOW LN",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600152835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1374 MEADOW LN",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600152835",
"telephone_number": "847-322-9377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRIDE AUTISM CENTERS MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-06",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A",
"authorized_official_last_name": "ZELINGER",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-322-9377"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.