CENTER FOR BEHAVIORAL HEALTH INDIANA LLC NPI 1134559917

NPI Information

  • NPI: 1134559917
  • Provider Name: CENTER FOR BEHAVIORAL HEALTH INDIANA LLC
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Address: 3910 LIMA RD
    FORT WAYNE, IN
    ZIP 46805
  • Phone: (260) 420-6010

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NPI Details

CENTER FOR BEHAVIORAL HEALTH INDIANA LLC is a methadone clinic center in Fort Wayne, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. CENTER FOR BEHAVIORAL HEALTH INDIANA LLC NPI is 1134559917. The provider is registered as an organization entity type.

The provider's business location address is:

3910 LIMA RD
FORT WAYNE, IN
ZIP 46805-031
Phone: (260) 420-6010

The provider's authorized official is Jay Higham .
The authorized official title is Ceo and has the following contact phone number (214) 365-6112.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 11/15/2013 and was last updated on 12/26/2024.

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 License Number License State Primary
1261QM2800XClinic/CenterMethadoneYes

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: 3/30/2025

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