NEOSSIA INC (NPI# 1295396810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295396810 |
Entity Type | Organization |
Organization Name | NEOSSIA INC |
Practice Address |
412 S Scott Rd Fort Wayne IN 46814 |
Practice Telephone | 2603587180 |
Practice Fax Number | 2607555731 |
Mailing Telephone | 2603587180 |
Mailing Fax Number | 2607555731 |
Enumeration Date | 2019-06-25 |
Last Update Date | 2019-06-25 |
Authorized Official Name | BROOKE FARRINGTON (PRESIDENT) |
Authorized Official Telephone | 2603587180 |
Authorized Official Credential | MSW, LCSW, CEDS- |
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) |
Ambulatory Health Care Facilities |
Street Address |
412 S SCOTT RD |
City | FORT WAYNE |
State | IN |
Zip Code | 46814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336255801 | Erica L Walworth | Marriage & Family Therapist | 412 S Scott Rd, Fort Wayne, IN 46814 | 2006-08-21 |
1881203636 | Claire Moorman | Dietitian, Registered | 412 S Scott Rd, Fort Wayne, IN 46814-9702 | 2020-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295256907 | Kimberly Ann Bailey | Social Worker | 5310 Merchandise Dr., Fort Wayne, IN 46814 | 2017-07-03 |
1821229998 | Back In Action Chiropractic | Chiropractor | 10443 Llinois Road, Fort Wayne, IN 46814 | 2009-08-06 |
1376789420 | Richard Frederick Fox | Radiology | 6226 Devils Hollow Rd., Fort Wayne, IN 46814 | 2008-12-19 |
1225287998 | George W. Bowers | Urology | 12002 Haddington Court, Fort Wayne, IN 46814 | 2008-09-17 |
1588831986 | Xue Zhang | Family Medicine | 10515 Illimois Rd, Fort Wayne, IN 46814 | 2008-05-14 |
1245449172 | Charles S Lindzy | Anesthesiology | 14104 Peddlers Ford, Fort Wayne, IN 46814 | 2007-05-21 |
1043338999 | Aboite Township Fire Dept In | Ambulance | 11321 Aboite Center Rd, Fort Wayne, IN 46814 | 2007-03-27 |
1588748206 | Lisa Renee Vachon | Chiropractor | 971 Chestnut Hills Pkwy, Ft Wayne, IN 46814 | 2006-10-25 |
1962586685 | Daniel Vern Velliquette | Chiropractor | 971 Chestnut Hills Parkway, Fort Wayne, IN 46814 | 2006-10-25 |
1619940970 | Shobana Pandian | Pediatrics | 10515 Illinois Rd, Fort Wayne, IN 46814 | 2006-02-08 |
Find all providers in zip 46814 |
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 |
---|---|---|---|---|
1053964866 | Cynthia Probst Lmhc LLC | Clinic/Center | 1025 W Rudisill Blvd Ste 202, Fort Wayne, IN 46807-2168 | 2019-07-20 |
1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
1003205998 | Christina Stapleton, L.l.c | Clinic/Center | 10315 Dawsons Creek Blvd # 12, Fort Wayne, IN 46825-1912 | 2015-01-14 |
1326286444 | Farrington Specialty Counseling Inc. | Clinic/Center | 3142 Mallard Cove Ln, Fort Wayne, IN 46804-2882 | 2009-01-27 |
1053943779 | Kmr Psychiatric Services LLC | Clinic/Center | 4656 W Jefferson Blvd Ste 285, Fort Wayne, IN 46804-6838 | 2020-02-11 |
1487112751 | National Youth Advocate Program, Inc | Clinic/Center | 2200 Lake Ave Ste 225, Fort Wayne, IN 46805-5364 | 2019-03-06 |
1659859619 | Tamara N Lombard, Phd, LLC | Clinic/Center | 7337 W Jefferson Blvd Ste 175, Fort Wayne, IN 46804-6286 | 2018-08-01 |
1588167860 | Ally Counseling & Consulting, LLC | Clinic/Center | 203 W Wayne St Ste 317, Fort Wayne, IN 46802-3610 | 2018-03-13 |
1639316086 | Pejus, Inc | Clinic/Center | 1515 Magnavox Way, Fort Wayne, IN 46804-1533 | 2009-01-07 |
1447391495 | Family and Children Behavioral Health PC | Clinic/Center | 4656 W Jefferson Blvd, Ste. 135, Fort Wayne, IN 46804-6857 | 2007-02-11 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46814 |
Please comment or provide details below to improve the information on NEOSSIA 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.