DR. MATT C. REBECK, LLC (NPI# 1396244489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396244489 |
| Entity Type | Organization |
| Organization Name | DR. MATT C. REBECK, LLC |
| Practice Address |
815 John St Ste 135 Evansville IN 47713-2746 |
| Mailing Address |
Po Box 38 New Harmony IN 47631-0038 |
| Practice Telephone | 8122361911 |
| Practice Fax Number | 8126826124 |
| Mailing Telephone | 8122361911 |
| Mailing Fax Number | 8126826124 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Authorized Official Name | DR. MATT REBECK (OWNER) |
| Authorized Official Telephone | 8122361911 |
| Authorized Official Credential | ED.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
20041439A | IN | Ambulatory Health Care Facilities |
| Street Address |
815 JOHN ST STE 135 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881116390 | Matt Carson Rebeck | Psychologist | 815 John St Ste 135, Evansville, IN 47713-2746 | 2017-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
| 1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
| 1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
| 1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
| 1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
| 1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
| Find all providers in zip 47713 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851308928 | Juan C Cabrera Sr. | Clinic/Center | 801 St Marys Dr, Ste 200, Evansville, IN 47714 | 2006-08-02 |
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| 1235773664 | Life Mentoring Inc. | Clinic/Center | 123 Harrington Ave Apt 2b, Crown Point, IN 46307-3843 | 2019-10-29 |
| 1265081301 | The Trauma and Addiction Treatment Center LLC | Clinic/Center | 1832 Explorer Ct, Franklin, IN 46131-6982 | 2019-09-11 |
| 1083275465 | The Academic Achievement Center, LLC | Clinic/Center | 2050 Doctors Park Dr, Columbus, IN 47203-2221 | 2019-06-26 |
| 1598263469 | Compass Counseling and Consulting Services, LLC. | Clinic/Center | 14074 Trade Center Dr Ste 247, Fishers, IN 46038-4579 | 2018-01-25 |
| 1366808834 | Change Therapy Center, LLC | Clinic/Center | 954 Eastport Centre Dr, Suite B, Valparaiso, IN 46383-4457 | 2016-01-13 |
| 1811234099 | Encouragement, LLC | Clinic/Center | 1017 Bontrager Ave, Elkhart, IN 46517-2811 | 2013-01-08 |
| 1861531386 | Zionsville Presbyterian Church | Clinic/Center | 4715 W 116th Street, Zionsville, IN 46077 | 2007-02-05 |
| 1003849605 | Ace Foster Care and Pediatric Home Nursing Agency | Clinic/Center | 7026 Indianapolis Blvd, Hammond, IN 46324-2208 | 2006-07-08 |
| 1730793530 | Choice Therapy | Clinic/Center | 12995 Star Dr, Fishers, IN 46037-5982 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47713 |
Please comment or provide details below to improve the information on DR. MATT C. REBECK, 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.