SOUTH CENTRAL GENERAL AND GERIATRIC PSYCHIATRY PC (NPI# 1245648617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245648617 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL GENERAL AND GERIATRIC PSYCHIATRY PC |
| Practice Address |
8651 Jaffa Court East Dr Apt 11 Indianapolis IN 46260-5329 |
| Mailing Address |
1305 Washington St Hollywood FL 33019-1812 |
| Practice Telephone | 3174147372 |
| Practice Fax Number | 5024157468 |
| Mailing Telephone | 3174147372 |
| Mailing Fax Number | 5024157468 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | ARTHUR LYAKHOVETSKY (PRESIDENT) |
| Authorized Official Telephone | 3174147372 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
8651 JAFFA COURT EAST DR APT 11 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-5329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336440122 | Professional Development Associates, LLC | Psychiatry & Neurology | 1776 Summerlakes Ct, Carmel, IN 46032-9679 | 2010-11-09 |
| 1295742377 | Juan C Cabrera Jr. | Psychiatry & Neurology | 101 Plaza East Blvd Ste 303, Evansville, IN 47715-2871 | 2006-08-02 |
| 1225330285 | Santosh Singh Md, Inc | Psychiatry & Neurology | 1605 W Kem Rd, Marion, IN 46952-1735 | 2010-11-24 |
| 1063739670 | Pu Cheng | Psychiatry & Neurology | 130 N Tillotson Ave, Meridian Health Services Corp., Muncie, IN 47304-3987 | 2010-04-23 |
| 1164587606 | Dewnzar Howard Md | Psychiatry & Neurology | 701 Superior Ave, Suite K, Munster, IN 46321-4037 | 2006-12-26 |
| 1053390765 | Kevin L. Murphy | Psychiatry & Neurology | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2006-01-11 |
| 1225030083 | Padmaja C Rao | Psychiatry & Neurology | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2005-08-11 |
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on SOUTH CENTRAL GENERAL AND GERIATRIC PSYCHIATRY PC.
| 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.