SOUTHWESTERN BEHAVIORAL HEALTHCARE, INC. (NPI# 1033108766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033108766 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN BEHAVIORAL HEALTHCARE, INC. |
| Practice Address |
415 Mulberry St Evansville IN 47713-1230 |
| Practice Telephone | 8124237791 |
| Practice Fax Number | 8124227558 |
| Mailing Telephone | 8124237791 |
| Mailing Fax Number | 8124227558 |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | KATHRYN ADAMS (CEO) |
| Authorized Official Telephone | 8124237791 |
| 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 | 100240880 | 05 | |
| IN | MEDICARE | 839090 | 01 |
| ANTHEM | 000000097841 | 01 | |
| IN | MEDICARE | 834950 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWESTERN BEHAVIORAL HEALTHCARE, INC. | 415 Mulberry St, Evansville, IN 47713-1230 |
| Indiana Business Entities | SOUTHWESTERN BEHAVIORAL HEALTHCARE, INC. | 415 Mulberry Street, Evansville, IN 47713 |
| Street Address |
415 MULBERRY ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623024 | Lydia Moll | Social Worker | 415 Mulberry St, Evansville, IN 47713-1230 | 2020-06-15 |
| 1316562499 | John Douglas Wathen | Psychiatry & Neurology | 415 Mulberry St, Evansville, IN 47713-1230 | 2020-06-14 |
| 1154971919 | Robbillie Stevenson | Social Worker | 415 Mulberry St, Evansville, IN 47713-1230 | 2019-09-13 |
| 1821640889 | Andrew Wyeth Hatfield | Social Worker | 415 Mulberry St, Evansville, IN 47713-1230 | 2019-07-10 |
| 1417516790 | Murphy Marie Jones | Social Worker | 415 Mulberry St, Evansville, IN 47713-1230 | 2019-06-10 |
| 1639737430 | Emily Brooke Cox | Social Worker | 415 Mulberry St, Evansville, IN 47713-1230 | 2019-06-05 |
| 1396201596 | Elizabeth M Treado | Social Worker | 415 Mulberry St, Evansville, IN 47713-1230 | 2019-02-13 |
| 1306300603 | Sarah Ann Elrod | Counselor | 415 Mulberry St, Evansville, IN 47713-1230 | 2019-01-31 |
| 1659743664 | Donna D Groves | Counselor | 415 Mulberry St, Evansville, IN 47713-1230 | 2015-10-29 |
| 1831565068 | Anna Powers | Social Worker | 415 Mulberry St, Evansville, IN 47713-1230 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
| 1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
| 1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
| 1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
| 1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
| 1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
| Find all providers in zip 47713 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068084 | Wellness Etc LLC | Clinic/Center | 1133 W Mill Rd Ste 200, Evansville, IN 47710-3877 | 2020-03-13 |
| 1649834565 | Compassionate Healing Counseling Service, LLC | Clinic/Center | 600 N Weinbach Ave Ste 720, Evansville, IN 47711-5977 | 2019-04-25 |
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|---|---|---|---|---|
| 1861093676 | Life Skills Unlimited LLC | Clinic/Center | 6433 E Washington St Ste 185, Indianapolis, IN 46219-6624 | 2020-11-06 |
| 1083214159 | Amber Kinney, LLC | Clinic/Center | 623 S Washington St Apt A, Bloomington, IN 47401-5645 | 2020-10-28 |
| 1710585997 | Bloomington Neurofeedback | Clinic/Center | 1905 S Liberty Dr, Bloomington, IN 47403-5146 | 2020-10-11 |
| 1255943346 | Reality Counseling LLC | Clinic/Center | 5610 Crawfordsville Rd Ste 605, Indianapolis, IN 46224-3715 | 2020-08-19 |
| 1326658568 | Jennifer Steinmetz Msw LLC | Clinic/Center | 115 N College Ave Ste 225, Bloomington, IN 47404-4099 | 2020-08-03 |
| 1376161810 | North Clark Behavioral Health LLC | Clinic/Center | 2100 Market St Ste 200, Charlestown, IN 47111-8507 | 2020-07-10 |
| 1114553948 | Johnson Nichols Health Clinic, Inc. | Clinic/Center | 720 N Marr Rd Ste A, Columbus, IN 47201-6660 | 2020-03-12 |
| 1376174904 | Karen Brosius LLC | Clinic/Center | 901 S Rogers St Ste 201, Bloomington, IN 47403-4760 | 2020-02-02 |
| 1396385886 | Urban Act Academy | Clinic/Center | 1250 E Market St, Indianapolis, IN 46202-3831 | 2020-01-13 |
| 1487295093 | Lotus Counseling Services, LLC | Clinic/Center | 6360 E Main St Apt 109, Portage, IN 46368-4683 | 2019-10-04 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47713 |
Please comment or provide details below to improve the information on SOUTHWESTERN BEHAVIORAL HEALTHCARE, 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.