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VON BARGEN ASSOCIATES INC. NPI 1366492043


NPI Information

NPI: 1366492043
Provider Name: VON BARGEN ASSOCIATES, INC.

Doing Business As: DIRECTIONS IN AGING

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1910 SAINT JOE CENTER RD
SUITE 44
FORT WAYNE, IN
ZIP 46825
Phone: (260) 471-8033
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VON BARGEN ASSOCIATES, INC. is a clinical psychologist in Fort Wayne, IN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. VON BARGEN ASSOCIATES, INC. NPI is 1366492043. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Directions In Aging.

The provider's business location address is:

1910 SAINT JOE CENTER RD
SUITE 44
FORT WAYNE, IN
ZIP 46825-000
Phone: (260) 471-8033
Fax: (260) 471-8107

The provider's authorized official is Daniel J Hauschild .
The authorized official title is President and has the following contact phone number (260) 471-8033.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 12/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4103TC0700XPsychologistClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1667150MEDICARE ID-TYPE UNSPECIFIEDINDIANA
2200424360AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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