PSI SERVICES III, INC (NPI# 1013033497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013033497 |
| Entity Type | Organization |
| Organization Name | PSI SERVICES III, INC |
| Other Organization Name | PSI FAMILY SERVICES OF INDIANA, INC |
| Practice Address |
8120 Georgia St Suite D Merrillville Bra IN 46410-6390 |
| Mailing Address |
8301 Professional Pl Ste 205 Hyattsville MD 20785-2353 |
| Practice Telephone | 2197568201 |
| Practice Fax Number | 2197568203 |
| Mailing Telephone | 3015527120 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | SHAWN RUBBIN (COMMS & IT DIRECTOR) |
| Authorized Official Telephone | 3015527120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200404430A | 05 | |
| IN | 200244330A | 05 |
| Other Name | Type Code |
|---|---|
| PSI Family Services of Indiana, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093929747 | Psi Services IIi, Inc | Clinic/Center | 5820 Dix St Ne, Washington, DC 20019-6965 | 2007-05-10 |
| 1578613634 | Psi Services IIi, Inc | Clinic/Center | 770 M St Se, Washington, DC 20003-3609 | 2007-01-11 |
| 1720271836 | Psi Services IIi, Inc | Clinic/Center | 5820 Dix St Ne, Washington, DC 20019-6965 | 2007-08-22 |
| 1083828735 | Psi Services IIi, Inc | Clinic/Center | 5820 Dix St Ne, Washington, DC 20019-6965 | 2007-05-10 |
| 1508070251 | Psi Services IIi, Inc | Clinic/Center | 5820 Dix St Ne, Washington, DC 20019-6965 | 2007-05-10 |
| Street Address |
8120 GEORGIA ST SUITE D |
| City | MERRILLVILLE BRA |
| State | IN |
| Zip Code | 46410-6390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE BRA |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on PSI SERVICES III, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.