BEHAVIOR SERVICES & THERAPY (NPI# 1659555852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659555852 |
| Entity Type | Organization |
| Organization Name | BEHAVIOR SERVICES & THERAPY |
| Practice Address |
1920 Ridgedale Rd South Bend IN 46614-2243 |
| Practice Telephone | 5742318000 |
| Practice Fax Number | 5742318013 |
| Mailing Telephone | 5742318000 |
| Mailing Fax Number | 5742318013 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | MS. KELLY L HOWARD (OWNER) |
| Authorized Official Telephone | 5742318000 |
| Authorized Official Credential | M.S., M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1920 RIDGEDALE RD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518933779 | Bradley S Mazick | Psychologist | 1920 Ridgedale Rd, South Bend, IN 46614-2243 | 2006-02-27 |
| 1447704945 | Jessica Longenecker | Counselor | 1920 Ridgedale Rd, South Bend, IN 46614-2243 | 2016-08-12 |
| 1487068441 | Kelly Howard | Counselor | 1920 Ridgedale Rd, South Bend, IN 46614-2243 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| Find all providers in zip 46614 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509080 | Revive Counseling and Wellness | Community/Behavioral Health | 317 S Eddy St, South Bend, IN 46617-3201 | 2020-02-04 |
| 1164065728 | Imani and Unidad, Inc. | Community/Behavioral Health | 234 Chapin St Ste B, South Bend, IN 46601-2571 | 2019-10-25 |
| 1649723628 | Clubhouse of Saint Joseph County | Community/Behavioral Health | 1216 Wayne St N, South Bend, IN 46615-1036 | 2016-07-26 |
| 1033486907 | Family Foundations, Inc | Community/Behavioral Health | 17566 Fleetwood Ln, South Bend, IN 46635-1367 | 2011-11-21 |
| 1184861858 | Neil Gilbert Counseling & Healing LLC | Community/Behavioral Health | 914 Lincolnway W, South Bend, IN 46616-1152 | 2009-01-16 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1164986055 | Zarandona Counseling and Assessment Services LLC | Community/Behavioral Health | 120 S Taylor St, South Bend, IN 46601-1522 | 2019-01-25 |
| 1710481148 | Know Thyself, PC | Community/Behavioral Health | 616 E Colfax Ave, South Bend, IN 46617-2827 | 2018-03-21 |
| 1013361294 | Infinity Behavioral Systems LLC | Community/Behavioral Health | 1318 Mishawaka Ave, South Bend, IN 46615-3919 | 2016-04-14 |
| 1811365604 | Ywca North Central Indiana | Community/Behavioral Health | 1102 Fellows St, South Bend, IN 46601-3514 | 2015-09-10 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
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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.