INDIANA CHRONIC PAIN & STRESS MANAGEMENT CENTER, INC.


Address: 2511 E 46th St, Suite Q-7, Indianapolis, IN 46205-2460
Phone: 3179188371

INDIANA CHRONIC PAIN & STRESS MANAGEMENT CENTER, INC. (NPI# 1548596323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548596323
Entity Type Organization
Organization Name INDIANA CHRONIC PAIN & STRESS MANAGEMENT CENTER, INC.
Practice Address 2511 E 46th St
Suite Q-7
Indianapolis
IN 46205-2460
Practice Telephone 3179188371
Mailing Telephone 3179188371
Enumeration Date 2009-10-28
Last Update Date 2009-10-28
Authorized Official Name HORACE DAVIS (DIRECTOR)
Authorized Official Telephone 3179188371
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 2511 E 46TH ST
SUITE Q-7
City INDIANAPOLIS
State IN
Zip Code 46205-2460

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1902132772 Marilyn Davis Physical Medicine & Rehabilitation 2511 E 46th St, Suite Q-7, Indianapolis, IN 46205-2460 2009-10-28
1588834477 Southern Hospitality Incorporated Home Health 2511 E 46th St, Suite J-6, Indianapolis, IN 46205-2460 2008-03-06
1962681031 Stacia L. Hill Psychologist 2511 E 46th St, Indianapolis, IN 46205-2460 2007-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003383233 Bombeauty Supply and Salon Durable Medical Equipment & Medical Supplies 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 2018-10-25
1376034165 Sade Trenise Evans Behavior Technician 4740 Kingsway Drive, Indianapolis, IN 46205 2018-05-29
1972057354 Danielle Mandigo Social Worker 4068 Winthrop Ave, Indianapolis, IN 46205 2016-08-15
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1114237336 Greenhouse and Associates Inc. Psychologist 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 2010-10-21
1265686638 Crown Medical Transportation Non-emergency Medical Transport (VAN) 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 2008-11-11
1003075912 Monica Silvia Oclander Nurse Practitioner Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 2008-06-05
1881895647 Amber Casto Counselor 2626 East 46th Street, Suite J, Indianapolis, IN 46205 2007-05-30
1952502098 Challenge Foundation Academy Contractor 3980 Meadows Dr., Indianapolis, IN 46205 2007-05-29
1588871909 Korinne Fox Social Worker 3675 N, Washington Blvd., Indianapolis, IN 46205 2007-05-16
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1619458940 Indiana Care Organization, LLC Clinic/Center 10689 N Pennsylvania St Ste 200, Indianapolis, IN 46280-1099 2018-08-24
1245769645 Community Health Network, Inc Clinic/Center 1640 N. Ritter Avenue, Indianapolis, IN 46218 2017-06-08
1407232648 Workplace Health Services, LLC Clinic/Center 604 E Legrande Ave, Indianapolis, IN 46203-3907 2015-08-10
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1497187991 Indiana University Health Advanced Heart & Lung Clinic Clinic/Center 1801 N. Sentate Blvd., Ste 2000, Indianapolis, IN 46202 2013-08-07
1720358047 Brian Watters Dc LLC Clinic/Center 11691 Fall Creek Rd Ste 110, Indianapolis, IN 46256-9448 2012-01-03
1295938116 Counseling of Indiana Inc. Clinic/Center 3607 W 16th St, Suite2b, Indianapolis, IN 46222-2558 2007-06-07
1952516437 Tlc The Laser Center (indiana) LLC Clinic/Center 5875 Castle Creek Parkway, Ste. 136, Indianapolis, IN 46250 2007-05-10
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Competitor

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City INDIANAPOLIS
Zip Code 46205

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Dataset Information

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.

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