CHILDREN'S AUTISM CENTER (NPI# 1194180117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194180117 |
Entity Type | Organization |
Organization Name | CHILDREN'S AUTISM CENTER |
Practice Address |
10313 Aboite Center Road Fort Wayne IN 46804 |
Practice Telephone | 2604596040 |
Practice Fax Number | 2604596010 |
Mailing Telephone | 2604596040 |
Mailing Fax Number | 2604596010 |
Enumeration Date | 2015-12-17 |
Last Update Date | 2015-12-17 |
Authorized Official Name | JILL FORTE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2604596040 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376778415 | Children's Autism Center | Community/Behavioral Health | 1707 N Mays St, Round Rock, TX 78664-2914 | 2009-05-19 |
Street Address |
10313 ABOITE CENTER ROAD |
City | FORT WAYNE |
State | IN |
Zip Code | 46804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316302565 | Dewayna Watts | Behavioral Analyst | 10313 Aboite Center Road, Fort Wayne, IN 46804 | 2015-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
Find all providers in zip 46804 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679170 | Gentlemind Health Services | Clinic/Center | 3635 Lake Ave, Fort Wayne, IN 46805-5539 | 2020-11-02 |
1366750028 | Nierman Chiropractic and Wellness LLC | Clinic/Center | 1921 Hughes Dr, Fort Wayne, IN 46816-3102 | 2010-09-15 |
1487734240 | Parkview Occupational Health | Clinic/Center | 3300 East State Street, Fort Wayne, IN 46703 | 2006-10-16 |
1801443098 | Sensory Connections Pediatric Occupational Therapy LLC | Clinic/Center | 134 E Collins Rd, Fort Wayne, IN 46825-5302 | 2019-08-22 |
1316453160 | Acupuncture and Wellness Center, LLC | Clinic/Center | 6049 E State Blvd, Fort Wayne, IN 46815-7620 | 2017-12-15 |
1972957041 | Parkview Hospital | Clinic/Center | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2016-04-14 |
1437517968 | Michelle L. Frye, O.d. LLC | Clinic/Center | 10240 Coldwater Rd, Fort Wayne, IN 46825-2035 | 2016-01-28 |
1649692385 | Ruckel Chiropractic PC | Clinic/Center | 7231 Engle Rd, Suite 100, Fort Wayne, IN 46804-2226 | 2014-01-15 |
1679917710 | Purdue University | Clinic/Center | 2101 E Coliseum Blvd, Walb Union 234, Fort Wayne, IN 46805-1445 | 2013-04-19 |
1255573325 | J & A Mobility Transportation | Clinic/Center | 11207 Rolling Pine Run, Fort Wayne, IN 46814-8120 | 2009-04-03 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46804 |
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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.