Provider Type Icon

CENTER FOR NEUROBEHAVIORAL SERVICES INC NPI 1548275258


NPI Information

NPI: 1548275258
Provider Name: CENTER FOR NEUROBEHAVIORAL SERVICES INC

Doing Business As: CNS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 15D2289979

Address:
3010 E STATE BLVD
FORT WAYNE, IN
ZIP 46805
Phone: (260) 471-2300
Get Directions

CENTER FOR NEUROBEHAVIORAL SERVICES INC is a mental health (including community mental health center) clinic center in Fort Wayne, IN. CENTER FOR NEUROBEHAVIORAL SERVICES INC NPI is 1548275258. The provider is registered as an organization entity type.
The provider Is Doing Business As Cns.

The provider's business location address is:

3010 E STATE BLVD
FORT WAYNE, IN
ZIP 46805
Phone: (260) 471-2300
Fax: (260) 471-2778

The provider's authorized official is Barbara C Gelder .
The authorized official title is Owner Psychologist and has the following contact phone number (260) 471-2300.

The CLIA number assigned to this NPI record is 15D2289979 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 5/5/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200250010AMEDICAIDINDIANA
22464293OTHEROHIOMEDICAID

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.