SOUTHEAST INDIANA MENTAL HEALTH PROFESSIONALS, LLC (NPI# 1528371705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528371705 |
Entity Type | Organization |
Organization Name | SOUTHEAST INDIANA MENTAL HEALTH PROFESSIONALS, LLC |
Other Organization Name | ROBERT E DAILEY AND ASSOCIATES |
Practice Address |
257 E Main St North Vernon IN 47265-1510 |
Mailing Address |
Po Box 475 North Vernon IN 47265-0475 |
Practice Telephone | 8123462872 |
Practice Fax Number | 8123464172 |
Mailing Telephone | 8123462872 |
Mailing Fax Number | 8123464172 |
Enumeration Date | 2010-07-16 |
Last Update Date | 2010-07-16 |
Authorized Official Name | DR. ROBERT ELLSWORTH DAILEY (CEO) |
Authorized Official Telephone | 8123462872 |
Authorized Official Credential | PSY. D., H.S.P.P |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Robert E Dailey and Associates | Former Legal Business Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | SOUTHEAST INDIANA MENTAL HEALTH PROFESSIONALS, LLC | 257 E Main St, North Vernon, IN 47265-1510 |
Street Address |
257 E MAIN ST |
City | NORTH VERNON |
State | IN |
Zip Code | 47265-1510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891807228 | Robert E Dailey | Psychologist | 257 E Main St, North Vernon, IN 47265-1510 | 2006-08-31 |
1811358096 | Kyra A Littrell | Counselor | 257 E Main St, North Vernon, IN 47265-1510 | 2016-03-15 |
1598123028 | Southeast Indiana Mental Health Professioals, LLC | Counselor | 257 E Main St, North Vernon, IN 47265-1510 | 2016-01-28 |
1689964769 | Julie E Griffin | Psychologist | 257 E Main St, North Vernon, IN 47265-1510 | 2011-04-11 |
1750527271 | Sharlene Carol Banks | Clinical Nurse Specialist | 257 E Main St, North Vernon, IN 47265-1510 | 2009-01-06 |
1184817900 | Leonard Ezekiel Miller | Psychologist | 257 E Main St, North Vernon, IN 47265-1510 | 2007-08-24 |
1891826111 | Robert E. Dailey & Associates | Counselor | 257 E Main St, North Vernon, IN 47265-1510 | 2007-03-08 |
1477689222 | Moridunnuoluwa O Tomori | Counselor | 257 E Main St, Suite C, North Vernon, IN 47265-1510 | 2007-02-26 |
1144321670 | Melissa Reyes Hunter | Counselor | 257 E Main St, North Vernon, IN 47265-1510 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306492723 | Lariann Rumph | Pharmacist | 14 North State Street, North Vernon, IN 47265 | 2019-08-12 |
1649798307 | Activate Healthcare - Nvic Clinic | Clinic/Center | 3750 4th Street, North Vernon, IN 47265 | 2017-09-01 |
1104372333 | Wecare Tlc - Jcsc Health and Wellness Center | Clinic/Center | 1800 Commercial Dr, North Vernon, IN 47265 | 2016-08-28 |
1053715987 | Erika Duran | Pharmacist | 9 N State Street, North Vernon, IN 47265 | 2014-10-21 |
1053720946 | Melissa R Hunter Lmhc LLC | Counselor | 753 North State Street, Suite A, North Vernon, IN 47265 | 2014-08-05 |
1962731075 | North Vernon Fire Department | Ambulance | 2000 North Madison Ave, North Vernon, IN 47265 | 2009-12-18 |
1063544989 | Quinco Consulting Center Inc | Clinic/Center | 299 W Hayden Pike, North Vernon, IN 47265 | 2007-03-09 |
1972635894 | Quinco Consulting Center Inc | Clinic/Center | 601 N Henry Street, North Vernon, IN 47265 | 2007-03-09 |
1659406528 | Jennings County Auditor | Ambulance | 925 South State Street, North Vernon, IN 47265 | 2007-02-22 |
1780729822 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 1810 North Commercial Drive, North Vernon, IN 47265 | 2007-02-20 |
Find all providers in zip 47265 |
Taxonomy Code | 364SP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750527271 | Sharlene Carol Banks | Clinical Nurse Specialist | 257 E Main St, North Vernon, IN 47265-1510 | 2009-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053650887 | Gerald Lewis Inc. | Clinical Nurse Specialist | 1150 Eastport Centre Dr, Suite D, Valparaiso, IN 46383-8427 | 2013-02-14 |
1437497864 | Abidemi Mary Ajuwon | Clinical Nurse Specialist | 3420 Cinnabar St, West Lafayette, IN 47906-7208 | 2013-01-18 |
1952603664 | Tara Elizabeth Gavardinas | Clinical Nurse Specialist | The Indiana Clinic, 340 W. 10th Street, Fs 5100, Indianapolis, IN 46202 | 2010-12-01 |
1407014327 | Regina Dawn Haight | Clinical Nurse Specialist | 1701 N Capitol Ave, C-3, Indianapolis, IN 46202-1203 | 2008-05-28 |
1073780102 | Deborah Lynn May | Clinical Nurse Specialist | 10748 Weston Dr, Carmel, IN 46032-9319 | 2008-05-08 |
1245403419 | Carol Agnes Essenmacher | Clinical Nurse Specialist | 8075 N Shadeland Ave Ste 350, Indianapolis, IN 46250-2693 | 2008-04-09 |
1508041716 | Elisabeth K Degenhardt | Clinical Nurse Specialist | 5230 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6401 | 2008-01-07 |
1306999131 | Kathleen R Lynch Lewis | Clinical Nurse Specialist | 281 Bielby Rd, Lawrenceburg, IN 47025-1055 | 2007-01-18 |
1831207000 | Frances Lucille Miller | Clinical Nurse Specialist | 145 Green Meadows Drive, Greenfield, IN 46140-4001 | 2006-08-28 |
1558308841 | Jennifer G Sims | Clinical Nurse Specialist | 1481 W 10th St # C-5085, Richard L Roudebush Va Medical Center, Indianapolis, IN 46202-2803 | 2006-06-02 |
Find all providers with the same taxonomy |
City | NORTH VERNON |
Zip Code | 47265 |
Please comment or provide details below to improve the information on SOUTHEAST INDIANA MENTAL HEALTH PROFESSIONALS, 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.