WILLOWGLEN ACADEMY-IN INC. NPI 1376974246

NPI Information

  • NPI: 1376974246
  • Provider Name: WILLOWGLEN ACADEMY-IN, INC.
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 308 E 21ST AVE
    GARY, IN
    ZIP 46407
  • Phone: (219) 886-1320

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NPI Details

WILLOWGLEN ACADEMY-IN, INC. is a psychiatry psychiatry neurology in Gary, IN. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. WILLOWGLEN ACADEMY-IN, INC. NPI is 1376974246. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

308 E 21ST AVE
GARY, IN
ZIP 46407-618
Phone: (219) 886-1320

The provider's authorized official is Catherine Anderson .
The authorized official title is Clinical Manager and has the following contact phone number (219) 886-1320.

The enumeration date for this NPI number is 12/3/2013 and was last updated on 12/3/2013.

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
11041C0700XSocial WorkerClinical87000641AINDIANANo
21041C0700XSocial WorkerClinical34002639AINDIANANo
3163W00000XRegistered Nurse28072804AINDIANANo
42084P0800XPsychiatry & NeurologyPsychiatry01031585AINDIANAYes

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
1200185860MEDICAIDINDIANA

What is NPI?

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This page was last updated on: 3/30/2025

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