Active NPI
Allison Kate Baylis, BA BCBA
- Behavior Analyst
- South Bend, IN
National Provider Identifier
1962047514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-37449
- Practice address
- 17390 Dugdale Dr Ste 100
South Bend, IN 46635-1512 - Phone
- (574) 400-2169
- Fax
- (317) 520-8200
- NPI assigned
- Nov 7, 2019
- Last updated
- Jan 26, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 1-19-37449 | IN | Primary |
Addresses
Primary practice location
17390 Dugdale Dr Ste 100
South Bend, IN 46635-1512
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
6910 S Highland Dr
Cottonwood Heights, UT 84121-3060
Phone (801) 935-4171
Other names 1
- Allison Kate Beachy
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579996800000",
"number": "1962047514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17390 DUGDALE DR STE 100",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351512",
"telephone_number": "574-400-2169",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "6910 S Highland Dr",
"address_purpose": "LOCATION",
"city": "Cottonwood Heights",
"state": "UT",
"postal_code": "841213060",
"country_code": "US",
"telephone_number": "801-935-4171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYLIS",
"first_name": "ALLISON",
"middle_name": "KATE",
"credential": "BA BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2020-01-26",
"certification_date": "2020-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-19-37449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "BEACHY",
"middle_name": "KATE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Bend, IN
- Nora Bautista-O'Neal, LSW
- Camila Bautista, MSW
- Victoria Ann Bawel, MD
- Grace Bawing, PT
- David Wood Baxter, D.O.
- Bcuz We Care Transportation
- Beacon Health Ventures Inc (Beacon Home Care Pharmacy)
- Beacon Health Ventures Inc (Beacon HC Pharmacy SB)
- Beacon Health Ventures Inc
- Beacon Health Ventures, Inc (Beacon HC Pharm SB)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.