TEAGUE PSYCHOLOGICAL SERVICES INC. NPI 1063782803

NPI Information

NPI: 1063782803
Provider Name: TEAGUE PSYCHOLOGICAL SERVICES, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6470 N. SHADELAND
SUITE C
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 849-9509
Get Directions

TEAGUE PSYCHOLOGICAL SERVICES, INC. is a mental health (including community mental health center) clinic center in Indianapolis, IN. TEAGUE PSYCHOLOGICAL SERVICES, INC. NPI is 1063782803. The provider is registered as an organization entity type.

The provider's business location address is:

6470 N. SHADELAND
SUITE C
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 849-9509
Fax: (317) 841-1157

The provider's authorized official is James Bradley Teague .
The authorized official title is President and has the following contact phone number (317) 849-9509.

The enumeration date for this NPI number is 1/11/2012 and was last updated on 1/11/2012.

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	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	20040735	INDIANA	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	100216740	MEDICAID	INDIANA
2	245610	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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