EASTER SEALS REHABILITATION CENTER INC. NPI 1003979964

NPI Information

NPI: 1003979964
Provider Name: EASTER SEALS REHABILITATION CENTER, INC.
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Address: 3701 BELLEMEADE AVE
EVANSVILLE, IN
ZIP 47714
Phone: (812) 479-1411

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NPI Details

EASTER SEALS REHABILITATION CENTER, INC. is an adolescent and children mental health clinic center in Evansville, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. EASTER SEALS REHABILITATION CENTER, INC. NPI is 1003979964. The provider is registered as an organization entity type.

The provider's business location address is:

3701 BELLEMEADE AVE
EVANSVILLE, IN
ZIP 47714-137
Phone: (812) 479-1411
Fax: (812) 437-2636

The provider's authorized official is Rea Tecson .
The authorized official title is Cfo and has the following contact phone number (812) 479-1411.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 1/23/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200263500A	MEDICAID	INDIANA

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: 11/21/2025

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