ANDERSON PSYCHIATRIC CLINIC LLC NPI 1659441905

NPI Information

NPI: 1659441905
Provider Name: ANDERSON PSYCHIATRIC CLINIC LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
431 WEST 9TH STREET
ANDERSON, IN
ZIP 46016
Phone: (765) 649-2234
Get Directions

ANDERSON PSYCHIATRIC CLINIC LLC is an adult mental health clinic center in Anderson, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ANDERSON PSYCHIATRIC CLINIC LLC NPI is 1659441905. The provider is registered as an organization entity type.

The provider's business location address is:

431 WEST 9TH STREET
ANDERSON, IN
ZIP 46016-317
Phone: (765) 649-2234
Fax: (765) 640-0538

The provider's authorized official is John E Wenger .
The authorized official title is Owner and has the following contact phone number (765) 649-2234.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 5/16/2013.

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
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			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
1	100170630A	MEDICAID	INDIANA
2	133450	MEDICARE PIN	INDIANA
3	133400	MEDICARE PIN	INDIANA
4	133410	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

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