INDIANA HEALTH GROUP INC NPI 1356396295

NPI Information

NPI: 1356396295
Provider Name: INDIANA HEALTH GROUP INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 15D2042097

Address:
703 PRO-MED LN
CARMEL, IN
ZIP 46032
Phone: (317) 843-9922
Get Directions

INDIANA HEALTH GROUP INC is a mental health (including community mental health center) clinic center in Carmel, IN. INDIANA HEALTH GROUP INC NPI is 1356396295. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

703 PRO-MED LN
CARMEL, IN
ZIP 46032-317
Phone: (317) 843-9922
Fax: (317) 843-4980

The provider's authorized official is Gregory Sipes .
The authorized official title is Partner and has the following contact phone number (317) 843-9922.

The CLIA number assigned to this NPI record is 15D2042097 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 11/6/2007.

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 State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	INDIANA	No
2	103TC0700X	Psychologist	Clinical	INDIANA	No
3	1041C0700X	Social Worker	Clinical	INDIANA	No
4	106H00000X	Marriage & Family Therapist		INDIANA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	INDIANA	No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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	712300	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	PSYCHOLOGIST ID
2	798900	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	PHYSICIAN ID
3	712310	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	SOCIAL WORKER ID

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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