Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.
JENNA DERI MSED
Complete NPI Record 1245950427
Behavior Analyst in Indianapolis, IN
Active since August 30, 2022
Complete NPI Dataset
This page contains the complete raw NPPES record for Jenna Deri, MSED (NPI 1245950427), an individual behavior analyst provider in Indianapolis, IN. All 25 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1245950427 Field 1/25
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/25
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: DERI Field 3/25
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: JENNA Field 4/25
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: MSED Field 5/25
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 3500 DEPAUW BLVD STE 3070 Field 6/25
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: INDIANAPOLIS Field 7/25
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: IN Field 8/25
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 462686135 Field 9/25
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/25
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8553240885 Field 11/25
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 3175208200 Field 12/25
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 6925 PARKDALE PL Field 13/25
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: INDIANAPOLIS Field 14/25
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: IN Field 15/25
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 462544673 Field 16/25
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/25
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 3175974553 Field 18/25
- The telephone number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 21/25
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 103K00000X Field 22/25
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 23/25
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: Y Field 24/25
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 18
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
21 S Park Blvd Ste 21
Location 1/18Greenwood, IN 46143-8838 · Phone (317) 449-2104
6635 E 21st St Ste 100
Location 2/18Indianapolis, IN 46219-2252 · Phone (317) 608-2824 · Fax (317) 608-2824
355 Quartermaster Ct
Location 3/18Jeffersonville, IN 47130-3670 · Phone (812) 258-9802
1558 E Boulevard Ste A
Location 4/18Kokomo, IN 46902-2587 · Phone (765) 252-0530
3781 Bayley Dr Ste B
Location 5/18Lafayette, IN 47905-8657 · Phone (765) 201-4767
2513 W 2nd St
Location 6/18Marion, IN 46952-3241 · Phone (765) 662-0490
8409 Merrillville Rd
Location 7/18Merrillville, IN 46410-6109 · Phone (219) 205-3463
1946 45th St Ste A
Location 8/18Munster, IN 46321-3956 · Phone (219) 332-0033
160 Plainfield Village Dr Ste 101
Location 9/18Plainfield, IN 46168-2782 · Phone (463) 888-0118
17551 Generations Dr
Location 10/18South Bend, IN 46635-1589 · Phone (574) 400-2169
399 Hospital Ln
Location 11/18Terre Haute, IN 47802-4394 · Phone (812) 645-2308
551 Eastport Centre Dr
Location 12/18Valparaiso, IN 46383-2898 · Phone (219) 255-2454
505 S 3rd St
Location 13/18Elkhart, IN 46516-3223 · Phone (574) 359-6796
2222 Poshard Dr
Location 14/18Columbus, IN 47203-1843 · Phone (812) 302-4750 · Fax (317) 520-8200
4422 E State Blvd
Location 15/18Fort Wayne, IN 46815-6917 · Phone (260) 471-9263
9769 Crosspoint Blvd
Location 16/18Indianapolis, IN 46256-3346 · Phone (317) 588-2732
4655 Rosebud Ln
Location 17/18Newburgh, IN 47630-9366 · Phone (812) 213-8031
801 Congressional Blvd Ste 600
Location 18/18Carmel, IN 46032-5648 · Phone (317) 689-7850
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