CMS-1500 Box 24J / 33a • NPI
1962118869
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103TM1800X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities
Box 32 Service Location & ZIP+4
16414 SOUTHPARK DR, WESTFIELD, IN, 46074-8396
✓ 9-Digit EDI 837 ZIP+4 (46074-8396)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962118869 (BIERMAN BEHAVIORAL HEALTH SERVICES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1962118869 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BIERMAN BEHAVIORAL HEALTH SERVICES, LLC |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities NUCC Code: 103TM1800X (Psychologist, Intellectual & Developmental Disabilities) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 16414 SOUTHPARK DR, WESTFIELD, IN, 46074-8396 |
| Practice Telephone / Fax | Tel: (317) 815-5501 | Fax: (317) 815-3861 |
| Administrative Mailing Address | 16414 SOUTHPARK DR, WESTFIELD, IN, 46074-8396 |
| Enumeration & Last Sync | Enumerated: 2023-01-25 | CMS Record Updated: 2026-11-02 |
| Authorized Official | COURTNEY AGARWAL (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103TM1800X)
What Does Taxonomy Code 103TM1800X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TM1800X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BIERMAN BEHAVIORAL HEALTH SERVICES, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: Verified | Primary: Secondary |
103TM1800X — Psychologist, Intellectual & Developmental DisabilitiesPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities | State: N/A | License: Verified | Primary: Yes (Primary) |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: N/A | License: Verified | Primary: Secondary |
235Z00000X — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers | State: N/A | License: Verified | Primary: Secondary |
261QD1600X — Clinic/Center, Developmental DisabilitiesPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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