INFINITY BEHAVIORAL SYSTEMS LLC (NPI# 1013361294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013361294 |
| Entity Type | Organization |
| Organization Name | INFINITY BEHAVIORAL SYSTEMS LLC |
| Practice Address |
1318 Mishawaka Ave South Bend IN 46615-3919 |
| Practice Telephone | 5742042935 |
| Practice Fax Number | 5743874794 |
| Mailing Telephone | 5742042935 |
| Mailing Fax Number | 5743874794 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | CARL RICHARD SPICER (DIRECTOR) |
| Authorized Official Telephone | 5742042935 |
| Authorized Official Credential | BA,MSW,MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IN | Agencies |
| Street Address |
1318 MISHAWAKA AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407812225 | Cynthia Gail Mitchell | Psychologist | 1318 Mishawaka Ave, South Bend, IN 46615-3919 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509080 | Revive Counseling and Wellness | Community/Behavioral Health | 317 S Eddy St, South Bend, IN 46617-3201 | 2020-02-04 |
| 1164065728 | Imani and Unidad, Inc. | Community/Behavioral Health | 234 Chapin St Ste B, South Bend, IN 46601-2571 | 2019-10-25 |
| 1649723628 | Clubhouse of Saint Joseph County | Community/Behavioral Health | 1216 Wayne St N, South Bend, IN 46615-1036 | 2016-07-26 |
| 1033486907 | Family Foundations, Inc | Community/Behavioral Health | 17566 Fleetwood Ln, South Bend, IN 46635-1367 | 2011-11-21 |
| 1184861858 | Neil Gilbert Counseling & Healing LLC | Community/Behavioral Health | 914 Lincolnway W, South Bend, IN 46616-1152 | 2009-01-16 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1164986055 | Zarandona Counseling and Assessment Services LLC | Community/Behavioral Health | 120 S Taylor St, South Bend, IN 46601-1522 | 2019-01-25 |
| 1710481148 | Know Thyself, PC | Community/Behavioral Health | 616 E Colfax Ave, South Bend, IN 46617-2827 | 2018-03-21 |
| 1811365604 | Ywca North Central Indiana | Community/Behavioral Health | 1102 Fellows St, South Bend, IN 46601-3514 | 2015-09-10 |
| 1356728901 | Story of Hope Counseling | Community/Behavioral Health | 616 E Colfax Ave, South Bend, IN 46617-2827 | 2015-05-04 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
Please comment or provide details below to improve the information on INFINITY BEHAVIORAL SYSTEMS LLC.
| 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.