INDIANAPOLIS TREATMENT CENTER (NPI# 1134580087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134580087 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS TREATMENT CENTER |
| Practice Address |
2626 E 46th St Indianapolis IN 46205-2380 |
| Practice Telephone | 3174759066 |
| Practice Fax Number | 3172573602 |
| Mailing Telephone | 3174759066 |
| Mailing Fax Number | 3172573602 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | KAREN ELAINE TUTTLE (DISPENSING NURSE) |
| Authorized Official Telephone | 3173133066 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1275686123 | IN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114388071 | Indianapolis Treatment Center | Case Management | 529 E 32nd St, Indianapolis, IN 46205-3871 | 2016-03-18 |
| 1922469881 | Indianapolis Treatment Center | Case Management | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-03-18 |
| 1396106332 | Indianapolis Treatment Center | Community/Behavioral Health | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-03-18 |
| 1770944639 | Indianapolis Treatment Center | Clinic/Center | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-03-18 |
| Street Address |
2626 E 46TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46205-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285785584 | Dominique D Leveque | Nurse Practitioner | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2007-01-15 |
| 1730672551 | Donna Kuehn | Counselor | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2018-06-07 |
| 1487108395 | Carrie Ann Trznadel | Counselor | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-08-09 |
| 1598127060 | Darriel Reed | Counselor | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-03-24 |
| 1083075915 | Michelle Goss | Counselor | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-03-20 |
| 1922469881 | Indianapolis Treatment Center | Case Management | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-03-18 |
| 1396106332 | Indianapolis Treatment Center | Community/Behavioral Health | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-03-18 |
| 1770944639 | Indianapolis Treatment Center | Clinic/Center | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-03-18 |
| 1023479748 | Nicholas Cawby | Counselor | 2626 E 46th St, Indianapolis, IN 46205 | 2016-03-08 |
| 1558721530 | Sheryl Savage | Counselor | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383233 | Bombeauty Supply and Salon | Durable Medical Equipment & Medical Supplies | 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 | 2018-10-25 |
| 1376034165 | Sade Trenise Evans | Behavior Technician | 4740 Kingsway Drive, Indianapolis, IN 46205 | 2018-05-29 |
| 1972057354 | Danielle Mandigo | Social Worker | 4068 Winthrop Ave, Indianapolis, IN 46205 | 2016-08-15 |
| 1386032613 | Hear Indiana Inc | Speech-Language Pathologist | 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 | 2015-01-09 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| 1265686638 | Crown Medical Transportation | Non-emergency Medical Transport (VAN) | 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 | 2008-11-11 |
| 1003075912 | Monica Silvia Oclander | Nurse Practitioner | Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 | 2008-06-05 |
| 1881895647 | Amber Casto | Counselor | 2626 East 46th Street, Suite J, Indianapolis, IN 46205 | 2007-05-30 |
| 1952502098 | Challenge Foundation Academy | Contractor | 3980 Meadows Dr., Indianapolis, IN 46205 | 2007-05-29 |
| 1588871909 | Korinne Fox | Social Worker | 3675 N, Washington Blvd., Indianapolis, IN 46205 | 2007-05-16 |
| Find all providers in zip 46205 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605864 | Connected In Community, LLC | Clinic/Center | 5625 N German Church Rd Ste 105, Indianapolis, IN 46235-8513 | 2020-10-05 |
| 1932713054 | Ana Mental Health Counseling, LLC | Clinic/Center | 10831 Snowdrop Way, Indianapolis, IN 46235-3561 | 2020-09-04 |
| 1285251421 | Circle City Iop LLC | Clinic/Center | 6202 Carrollton Ave, Indianapolis, IN 46220-1925 | 2020-07-04 |
| 1023658382 | Vision Wealth Group | Clinic/Center | 3333 N Illinois St Ste 14, Indianapolis, IN 46208-4682 | 2020-01-14 |
| 1659928794 | Original Housing Program | Clinic/Center | 3539 N College Ave # 1, Indianapolis, IN 46205-3755 | 2019-08-22 |
| 1700382892 | Sayre Counseling Services, LLC | Clinic/Center | 1311 W 96th St Ste 105, Indianapolis, IN 46260-1173 | 2018-04-05 |
| 1316446628 | Moses Mental Health | Clinic/Center | 1933 Central Ave, Indianapolis, IN 46202-1610 | 2018-02-02 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1831428341 | Integrative Health Resources, LLC | Clinic/Center | 3802 W 96th St Ste 220, Indianapolis, IN 46268-2916 | 2009-12-11 |
| 1356674329 | Solace Mental Health Services | Clinic/Center | 8840 Michigan Rd, Suite 103, Indianapolis, IN 46268-1440 | 2009-09-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46205 |
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| 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.