INDY BEHAVIORAL HEALTH LLC (NPI# 1356959068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356959068 |
| Entity Type | Organization |
| Organization Name | INDY BEHAVIORAL HEALTH LLC |
| Practice Address |
2611 Waterfront Parkway East Dr Ste 370 Indianapolis IN 46214-2069 |
| Practice Telephone | 3179780257 |
| Practice Fax Number | 3179749077 |
| Mailing Telephone | 3179780257 |
| Mailing Fax Number | 3179749077 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | MRS. SONYA RUEDLINGER (OWNER) |
| Authorized Official Telephone | 8123182345 |
| Authorized Official Credential | FNP-C, PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 S Walnut St Ste 11, Bloomington, IN 474046118 | 3179780257 | 3179749077 |
| Street Address |
2611 WATERFRONT PARKWAY EAST DR STE 370 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46214-2069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982882098 | Tri-state Surgical Services, LLC | Clinic/Center | 8206 Rockville Rd, Suite 132, Indianapolis, IN 46214 | 2008-01-31 |
| 1154508075 | Joe Edward Banks | Family Medicine | 900 N High School Rd, Indianapolis, IN 46214 | 2008-01-22 |
| 1003948365 | Catrissa R Hilson | Social Worker | 6804 Idlewood Trail, #602, Indianapolis, IN 46214 | 2007-03-12 |
| 1811025224 | Help At Home, Inc | Nursing Care | 650 North Girl School Road, Suite C35, Indianapolis, IN 46214 | 2007-02-28 |
| 1942358007 | Daniel Gomes | Dentist | 8235 Country Village Dr, Indianapolis, IN 46214 | 2007-01-08 |
| 1871658070 | Kurt Robert Gossweiler | Dentist | 7901 Crawfordsville Rd, Ste E, Indianapolis, IN 46214 | 2006-12-27 |
| 1649380452 | Rockville Road Dentistry | Dentist | 6355 Rockville Road, Indianapolis, IN 46214 | 2006-08-30 |
| 1326035718 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 3017 Valley Farms Rd, Indianapolis, IN 46214 | 2005-09-30 |
| 1104341403 | Jacob Ready | Pharmacist | 7235 W 10th St, Indianapolis, IN 46214 | 2017-08-08 |
| 1821397779 | Avon Physical Medicine Inc | Physical Medicine & Rehabilitation | 8258 Rockville Rd, Indianapolis, IN 46214 | 2011-03-17 |
| Find all providers in zip 46214 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1255943346 | Reality Counseling LLC | Clinic/Center | 5610 Crawfordsville Rd Ste 605, Indianapolis, IN 46224-3715 | 2020-08-19 |
| 1396385886 | Urban Act Academy | Clinic/Center | 1250 E Market St, Indianapolis, IN 46202-3831 | 2020-01-13 |
| 1972169506 | Growth2daycom LLC | Clinic/Center | 941 E 86th St # St120, Indianapolis, IN 46240-1861 | 2019-05-20 |
| 1437714169 | Moving Forward Counseling, LLC | Clinic/Center | 120 E Market St Ste 721, Indianapolis, IN 46204-3237 | 2019-05-08 |
| 1144789496 | Enlightenment & Wellness LLC | Clinic/Center | 910 N Shadeland Ave Ste 11, Indianapolis, IN 46219-4810 | 2019-03-17 |
| 1932663507 | Priorityone Health Center LLC | Clinic/Center | 8820 East 33rd Street, Indianapolis, IN 46226-6501 | 2019-01-28 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1073042396 | Amanda Rinehart | Clinic/Center | 8305 Christiana Ln, Indianapolis, IN 46256-3415 | 2017-06-08 |
| 1063782803 | Teague Psychological Services, Inc. | Clinic/Center | 6470 N. Shadeland, Suite C, Indianapolis, IN 46220 | 2012-01-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46214 |
Please comment or provide details below to improve the information on INDY BEHAVIORAL HEALTH LLC.
| 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.