MADISON CENTER, INC. (NPI# 1265698120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265698120 |
| Entity Type | Organization |
| Organization Name | MADISON CENTER, INC. |
| Practice Address |
403 E Madison St South Bend IN 46617-2322 |
| Practice Telephone | 5742831107 |
| Practice Fax Number | 5742831131 |
| Mailing Telephone | 5742831107 |
| Mailing Fax Number | 5742831131 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | BRENDA J CLANTON (CONTRACTS MANAGER) |
| Authorized Official Telephone | 5742831107 |
| Is Organization Subpart | Y |
| Parent Organization Name | MADISON CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 406-0-CMHC | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200473460A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750411872 | Madison Center, Inc. | Clinic/Center | 403 E Madison St, South Bend, IN 46617-2322 | 2007-03-07 |
| 1376691154 | Madison Center, Inc. | Clinic/Center | 403 E Madison St, South Bend, IN 46617-2322 | 2007-01-08 |
| 1174671952 | Madison Center, Inc. | Clinic/Center | 403 E Madison St, South Bend, IN 46617-2322 | 2007-01-08 |
| 1104974989 | Madison Center, Inc. | Psychiatric Residential Treatment Facility | 403 E Madison St, South Bend, IN 46617-2322 | 2007-01-08 |
| 1073565131 | Madison Center, Inc. | Psychiatric Hospital | 403 E Madison St, South Bend, IN 46617-2322 | 2006-05-17 |
| Street Address |
403 E MADISON ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164497962 | Phillip Coffey | Social Worker | 403 E Madison St, South Bend, IN 46617-2322 | 2006-02-23 |
| 1134534456 | Memorial Hospital of South Bend, Inc | General Acute Care Hospital | 403 E Madison St, South Bend, IN 46617-2322 | 2014-06-25 |
| 1225310402 | Susan K Henderson | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2011-09-14 |
| 1154633550 | Meladie A Langham | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-07-14 |
| 1497067896 | Kami S Brenneman | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-07-14 |
| 1396064309 | Casandra Mcgrew | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-06-01 |
| 1124347133 | Amanda Jardine | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-06-01 |
| 1104141985 | Aaron T Gray | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-04-05 |
| 1346579679 | Linda S Hoppel | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2009-12-16 |
| 1235468570 | Michelle M Peters | Social Worker | 403 E Madison St, South Bend, IN 46617-2322 | 2009-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| 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 |
| 1013361294 | Infinity Behavioral Systems LLC | Community/Behavioral Health | 1318 Mishawaka Ave, South Bend, IN 46615-3919 | 2016-04-14 |
| 1811365604 | Ywca North Central Indiana | Community/Behavioral Health | 1102 Fellows St, South Bend, IN 46601-3514 | 2015-09-10 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.