PROFESSIONAL DEVELOPMENT ASSOCIATES, LLC (NPI# 1336440122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336440122 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DEVELOPMENT ASSOCIATES, LLC |
| Practice Address |
1776 Summerlakes Ct Carmel IN 46032-9679 |
| Practice Telephone | 8888229732 |
| Practice Fax Number | 8888229732 |
| Mailing Telephone | 8888229732 |
| Mailing Fax Number | 8888229732 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |
| Authorized Official Name | DR. JOHN J. WERNERT III (PRESIDENT) |
| Authorized Official Telephone | 13174455016 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
01035237A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PERSONAL NPI - DR. WERNERT | 1851364780 | 01 | |
| IN | 100134210A | 05 |
| Street Address |
1776 SUMMERLAKES CT |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-9679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| 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 |
|---|---|---|---|---|
| 1225030083 | Padmaja C Rao | Psychiatry & Neurology | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245648617 | South Central General and Geriatric Psychiatry PC | Psychiatry & Neurology | 8651 Jaffa Court East Dr Apt 11, Indianapolis, IN 46260-5329 | 2014-07-29 |
| 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 |
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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.