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YWCA NORTH CENTRAL INDIANA NPI 1811365604


NPI Information

NPI: 1811365604
Provider Name: YWCA NORTH CENTRAL INDIANA
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1102 FELLOWS ST
SOUTH BEND, IN
ZIP 46601
Phone: (574) 233-9491
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YWCA NORTH CENTRAL INDIANA is a community behavioral health in South Bend, IN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. YWCA NORTH CENTRAL INDIANA NPI is 1811365604. The provider is registered as an organization entity type.

The provider's business location address is:

1102 FELLOWS ST
SOUTH BEND, IN
ZIP 46601-514
Phone: (574) 233-9491
Fax: (574) 233-9616

The provider's authorized official is Sharon Devinney .
The authorized official title is Health Service Provider Psychology and has the following contact phone number (574) 286-0055.

The enumeration date for this NPI number is 9/10/2015 and was last updated on 9/10/2015.


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
1251S00000XCommunity/Behavioral HealthINDIANAYes

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
1201211530MEDICAIDINDIANA

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: 4/28/2024

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