GRANT-BLACKFORD MENTAL HEALTH, INC. (NPI# 1407848500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407848500 |
| Entity Type | Organization |
| Organization Name | GRANT-BLACKFORD MENTAL HEALTH, INC. |
| Other Organization Name | CORNERSTONE |
| Practice Address |
505 N Wabash Ave Marion IN 46952-2608 |
| Practice Telephone | 7656623971 |
| Practice Fax Number | 7656627480 |
| Mailing Telephone | 7656623971 |
| Mailing Fax Number | 7656627480 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2013-03-20 |
| Authorized Official Name | PAUL G KUCZORA (CEO) |
| Authorized Official Telephone | 7656623971 |
| 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) |
414 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100123170A | 05 |
| Other Name | Type Code |
|---|---|
| Cornerstone | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497891550 | Grant-blackford Mental Health, Inc. | Community/Behavioral Health | 116 E 32nd St, Marion, IN 46953-4060 | 2007-01-29 |
| 1952447013 | Grant-blackford Mental Health, Inc. | Psychiatric Unit | 505 N Wabash Ave, Marion, IN 46952-2608 | 2007-01-29 |
| 1689710741 | Grant-blackford Mental Health, Inc. | Community/Behavioral Health | 118 E Washington St, Hartford City, IN 47348-2210 | 2007-01-29 |
| Street Address |
505 N WABASH AVE |
| City | MARION |
| State | IN |
| Zip Code | 46952-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454585 | Don Anthony | Social Worker | 505 N Wabash Ave, Marion, IN 46952-2608 | 2005-08-16 |
| 1366062580 | Rebeccah Carly Baric | Social Worker | 505 N Wabash Ave, Marion, IN 46952-2608 | 2020-04-17 |
| 1235759556 | Alyce Danielle Branham | Social Worker | 505 N Wabash Ave, Marion, IN 46952-2608 | 2020-04-17 |
| 1912527144 | Lindsay R Wallace | Social Worker | 505 N Wabash Ave, Marion, IN 46952-2608 | 2020-04-17 |
| 1700418969 | Tina Marie Elliott | Social Worker | 505 N Wabash Ave, Marion, IN 46952-2608 | 2020-02-06 |
| 1457998858 | Cynthia Rosenbach | Counselor | 505 N Wabash Ave, Marion, IN 46952-2608 | 2019-12-04 |
| 1104462704 | Rasheed Abisayo Ojerinde | Counselor | 505 N Wabash Ave, Marion, IN 46952-2608 | 2019-11-19 |
| 1548810047 | Hallie K Harris | Social Worker | 505 N Wabash Ave, Marion, IN 46952-2608 | 2019-09-17 |
| 1558915728 | Jennifer Shook | Counselor | 505 N Wabash Ave, Marion, IN 46952-2608 | 2019-07-26 |
| 1033761424 | Sarah Albert | Social Worker | 505 N Wabash Ave, Marion, IN 46952-2608 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| 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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| 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.