KLEDZIK PSYCHIATRIC LLC (NPI# 1700337920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700337920 |
| Entity Type | Organization |
| Organization Name | KLEDZIK PSYCHIATRIC LLC |
| Practice Address |
9245 N Meridian St 225 Indianapolis IN 46260-1836 |
| Practice Telephone | 3178189000 |
| Practice Fax Number | 3178189009 |
| Mailing Telephone | 3178189000 |
| Mailing Fax Number | 3178189009 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | DR. ANN KLEDZIK (OWNER OF LLC) |
| Authorized Official Telephone | 3178189000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01065931A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
9245 N MERIDIAN ST 225 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871891549 | Rite At Home, Inc. | Durable Medical Equipment & Medical Supplies | 9245 N Meridian St, Suite 200, Indianapolis, IN 46260-1836 | 2011-03-04 |
| 1528699576 | Renee Brooke Mcdougal | Nurse Practitioner | 9245 N Meridian St, Indianapolis, IN 46260-1836 | 2020-01-29 |
| 1245745561 | Professional Management Enterprises | Transportation Broker | 9245 N Meridian St, Indianapolis, IN 46260-1836 | 2017-12-08 |
| 1154858884 | Heather Ann Wakley | Counselor | 9245 N Meridian St, Suite 225, Indianapolis, IN 46260-1836 | 2017-05-12 |
| 1225404114 | Alexandra Epler | Psychologist | 9245 N Meridian St, Suite 225, Indianapolis, IN 46260-1836 | 2015-08-14 |
| 1093066896 | Repucare Onsite LLC | Clinic/Center | 9245 N Meridian St, Suite 305, Indianapolis, IN 46260-1836 | 2012-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821060294 | Michael Welling | Psychiatry & Neurology | 2040 Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2006-02-01 |
| 1184616294 | Fadia T Aldahan | Psychiatry & Neurology | 5502 East 16th Street, Suite A21, Indianapolis, IN 46218-4932 | 2005-08-16 |
| 1225477409 | Huma M Hosain | Psychiatry & Neurology | 355 W 16th St, #2364, Indianapolis, IN 46202-2207 | 2013-06-20 |
| 1033552310 | Axon Health Associates, LLC | Psychiatry & Neurology | 10585 N Meridian St, Suite 201, Indianapolis, IN 46290-1069 | 2013-04-16 |
| 1235422429 | Genalynne Carwile Mooneyham | Psychiatry & Neurology | 1111 W 10th St, #201, Indianapolis, IN 46202-4800 | 2011-05-19 |
| 1396924742 | Correctional Management Company | Psychiatry & Neurology | 9000 Keystone Xing, Suite 1040, Indianapolis, IN 46240-2118 | 2007-11-01 |
| 1790989671 | Ann M Kledzik | Psychiatry & Neurology | 702 Barnhill Dr, #4300, Indianapolis, IN 46202-5128 | 2007-06-13 |
| 1740401421 | Melisa Ybarra Martinez | Psychiatry & Neurology | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2007-05-01 |
| 1194819714 | Robert Peter Mohlman | Psychiatry & Neurology | 320 North Tibbs Avenue, Indianapolis, IN 46222 | 2006-10-03 |
| 1598869786 | Susanne Blix | Psychiatry & Neurology | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2006-09-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on KLEDZIK PSYCHIATRIC 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.