SOUTH BEND MENTAL HEALTH ASSOCIATES, PC (NPI# 1740489939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740489939 |
| Entity Type | Organization |
| Organization Name | SOUTH BEND MENTAL HEALTH ASSOCIATES, PC |
| Other Organization Name | SOUTH BEND MENTAL HEALTH ASSOCIATES |
| Practice Address |
113 Lincoln Way E Mishawaka IN 46544-2016 |
| Practice Telephone | 5742551162 |
| Practice Fax Number | 5742338002 |
| Mailing Telephone | 5742551162 |
| Mailing Fax Number | 5742338002 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. ALAN H WAX (PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Telephone | 5742551162 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 57000133A | IN | Agencies |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
57000133A | IN | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 57000133A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000368604 | 01 |
| IN | 200021670 | 05 |
| Other Name | Type Code |
|---|---|
| South Bend Mental Health Associates | Doing Business As Name - Organization |
| Street Address |
113 LINCOLN WAY E |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083788426 | Lincoln Counseling, PC | Counselor | 113 Lincoln Way E, Mishawaka, IN 46544-2016 | 2006-11-18 |
| 1922215581 | Maria Schwieter | Counselor | 113 Lincoln Way E, Mishawaka, IN 46544-2016 | 2007-05-16 |
| 1194931493 | Guy Tatay | Counselor | 113 Lincoln Way E, Mishawaka, IN 46544-2016 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275957144 | Wendy Settle | Psychologist | 3625 Park Pl W Ste 150, Mishawaka, IN 46545-3565 | 2014-02-12 |
| 1679741235 | Michael L Rupley Phd PC | Psychologist | 323 West 4th Street, Mishawaka, IN 46544-1913 | 2008-02-18 |
| 1417009234 | Ann Carol Singler | Psychologist | 319 Manor Dr, Mishawaka, IN 46544-3514 | 2007-01-18 |
| 1851462451 | Alan H Wax | Psychologist | 113 Lincolnway E, Mishawaka, IN 46544-2016 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273849 | Anahli Mayank Patel | Psychologist | 550 University Blvd Ste 1602, Indianapolis, IN 46202-5149 | 2020-10-20 |
| 1861006587 | Dr Michael Jones Psychological Associates, LLC | Psychologist | 8510 Evergreen Ave Ste 106, Indianapolis, IN 46240-2338 | 2020-09-01 |
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1881222016 | Ericka Swanson Psyd Inc. | Psychologist | 9305 Calumet Ave Ste A2, Munster, IN 46321-2888 | 2020-04-01 |
| 1184251316 | Pei-yi Lin | Psychologist | 9504 Rachel Dr, Yorktown, IN 47396-9826 | 2020-03-26 |
| 1679109383 | Christina Chico | Psychologist | 1 Park Row St, Michigan City, IN 46360-6597 | 2020-03-14 |
| 1457998007 | Ne Psychological LLC | Psychologist | 6343 Constitution Dr, Fort Wayne, IN 46804-1547 | 2019-12-03 |
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1295205615 | Monumental Behavioral Health Inc | Psychologist | 1201 N Post Rd Ste C, Indianapolis, IN 46219-4246 | 2018-11-28 |
| 1528536083 | Rebecca Martinez Reid | Psychologist | 2201 E Woodstock Pl, Bloomington, IN 47401-6180 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
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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.