CRISIS CENTER INC. (NPI# 1639593247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639593247 |
| Entity Type | Organization |
| Organization Name | CRISIS CENTER INC. |
| Practice Address |
101 N Montgomery St Gary IN 46403-3921 |
| Practice Telephone | 2199382727 |
| Practice Fax Number | 2199387502 |
| Mailing Telephone | 2199382727 |
| Mailing Fax Number | 2199387502 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | MS. SHIRLEY CAYLOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2199382727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 158404933 30246 | IN | Residential Treatment Facilities |
| Street Address |
101 N MONTGOMERY ST |
| City | GARY |
| State | IN |
| Zip Code | 46403-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508297417 | Linda Tolbert | Counselor | 101 N Montgomery St, Gary, IN 46403-3921 | 2013-12-02 |
| 1518398312 | Elva Torres | Social Worker | 101 N Montgomery St, Gary, IN 46403-3921 | 2013-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003172008 | Healthy Smiles Nwi | Dentist | 4629 Melton Rd., Gary, IN 46403 | 2012-04-04 |
| 1932494424 | Restore Therapy Services LLC | Physical Therapist | 6100 Miller Avenue, Gary, IN 46403 | 2011-06-13 |
| 1851682587 | Ladwana Retic | Social Worker | 4416 East 6th Avenue, Gary, IN 46403 | 2011-04-28 |
| 1962500298 | Lynn E Gassoway | Dentist | 8412 Maple Ave, Gary, IN 46403 | 2006-09-20 |
| 1376826867 | Jill Obrien | Pharmacist | 801 S Lake St, Gary, IN 46403 | 2011-09-21 |
| 1932314275 | Charter School of The Dunes | Local Education Agency (LEA) | 860 N Lake St, Gary, IN 46403-1070 | 2007-05-11 |
| 1598980542 | Arc Bridges, Inc | Custodial Care Facility | 7110 Forest Ave, Gary, IN 46403-1201 | 2007-04-16 |
| 1104039510 | Lynn E Gassoway,dds,inc | Clinic/Center | 8412 Maple Ave, Gary, IN 46403-1419 | 2007-05-08 |
| 1053582445 | Jacqueline Bernice Fowler | Psychologist | 8620 Maple Ave, Gary, IN 46403-1423 | 2008-03-13 |
| 1659484053 | Life Service Professional Corp | Specialist | 1015 N Shelby St, Gary, IN 46403-1446 | 2006-08-17 |
| Find all providers in zip 46403 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417227984 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 2301 Jefferson St, Gary, IN 46407-3043 | 2011-12-30 |
| 1144353715 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-03-13 |
| 1073788113 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 308 E 21st Ave, Gary, IN 46407-2618 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811206493 | Shults-lewis Child and Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 325 South 150 East, Valparaiso, IN 46383-7866 | 2010-09-30 |
| 1336454552 | Wernle Youth & Family Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 2000 Wernle Rd, Richmond, IN 47374-7015 | 2010-08-12 |
| 1730494360 | Resource Community Based Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1404 S State Ave, Indianapolis, IN 46203-2009 | 2010-08-06 |
| 1356671192 | Sequel Tsi of Indiana, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2426 S Parker Ln, Lexington, IN 47138-8561 | 2009-12-29 |
| 1578897773 | Open Arms Christian Ministries, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4516 W State Road 54, Bloomfield, IN 47424-5207 | 2009-09-22 |
| 1871749119 | Gibault, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6301 S Us Highway 41, Terre Haute, IN 47802-4771 | 2008-08-18 |
| 1528285897 | St. Joseph Home for Boys, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4007 S Sheffield Ave, Hammond, IN 46327-1242 | 2007-04-19 |
| 1861587230 | Success Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 3455 West Vermont, Indianapolis, IN 46222 | 2006-10-03 |
| 1699868893 | Crossroad - Fort Wayne Childrens Home | Residential Treatment Facility, Emotionally Disturbed Children | 2525 Lake Ave, Fort Wayne, IN 46805-5407 | 2006-10-02 |
| 1740373323 | Options Treatment Acquisition Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 5602 Caito Drive, Indianapolis, IN 46226 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CRISIS CENTER INC..
| 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.