EAST INDIANA COMPREHENSIVE TREATMENT CENTER (NPI# 1780055053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780055053 |
| Entity Type | Organization |
| Organization Name | EAST INDIANA COMPREHENSIVE TREATMENT CENTER |
| Practice Address |
816 Rudolph Way Greendale IN 47025-8312 |
| Practice Telephone | 8125371668 |
| Practice Fax Number | 8125379173 |
| Mailing Telephone | 8125371668 |
| Mailing Fax Number | 8125379173 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | MRS. IVY RUFINA VOYNOVICH (CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 8125371668 |
| Authorized Official Credential | MS LCDC III |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTH CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 081062 | OH | Agencies |
| Street Address |
816 RUDOLPH WAY |
| City | GREENDALE |
| State | IN |
| Zip Code | 47025-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013060714 | East Indiana Treatment Center, LLC | Clinic/Center | 816 Rudolph Way, Greendale, IN 47025-8312 | 2007-01-18 |
| 1508311291 | Sally Webster | Licensed Practical Nurse | 816 Rudolph Way, Greendale, IN 47025-8312 | 2016-08-23 |
| 1780139477 | Brenda Gullion | Licensed Practical Nurse | 816 Rudolph Way, Greendale, IN 47025-8312 | 2016-08-23 |
| 1558815639 | Mary Ann Detmer | Licensed Practical Nurse | 816 Rudolph Way, Greendale, IN 47025-8312 | 2016-08-07 |
| 1750834206 | Carolyn Richards | Registered Nurse | 816 Rudolph Way, Greendale, IN 47025-8312 | 2016-08-02 |
| 1659824886 | Vickie Hitchcock | Licensed Practical Nurse | 816 Rudolph Way, Greendale, IN 47025-8312 | 2016-07-23 |
| 1932579901 | Leah Oelker | Counselor | 816 Rudolph Way, Greendale, IN 47025-8312 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053761932 | Aimee Elizabeth Steele | Social Worker | 285 Bielby Rod, Lawrenceburg, IN 47025 | 2016-06-21 |
| 1942663703 | Kathryn Robinson | Speech-Language Pathologist | 478 Eagleview Drive, Lawrenceburg, IN 47025 | 2016-03-30 |
| 1518342674 | Emily Eichinger | Pharmacist | 401 W Eads Pkwy Ste 270, Greendale, IN 47025 | 2015-07-29 |
| 1104267269 | Bright Family Eye Care LLC | Optometrist | 24173 Stateline Rd., Suite 200, Lawrenceburg, IN 47025 | 2013-07-17 |
| 1912274333 | James J Gibbs | Pharmacist | 432 Craig Avenue, Greendale, IN 47025 | 2011-11-30 |
| 1265717755 | Carrie Rowekamp | Pharmacist | 432 Craig Ave., Greendale, IN 47025 | 2011-10-15 |
| 1619277621 | Whitner Counseling | Community/Behavioral Health | 5 Mary Street, Lawrenceburg, IN 47025 | 2010-10-25 |
| 1255646170 | Charles Alan Perine | Audiologist | 368 Bielby Rd Suite 140, Ludlow Hill Preofessional Bldg, Lawrenceburg, IN 47025 | 2010-08-16 |
| 1457579328 | Sei Physical Therapy, Inc. | Physical Therapist | 23990 Stateline Rd., Suite 1, Lawrenceburg, IN 47025 | 2007-04-23 |
| 1447382593 | Keith William Blankman | Optometrist | 19908 Augusta Dr, Suite 1, Lawrenceburg, IN 47025 | 2007-03-12 |
| Find all providers in zip 47025 | ||||
| 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 |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1710599154 | We Are The Village Inc. | Community/Behavioral Health | 623 Washington St, Gary, IN 46402-2401 | 2020-08-18 |
| 1750993218 | Minds Matter, LLC | Community/Behavioral Health | 2205 E Morgan Ave Ste 122, Evansville, IN 47711-4358 | 2020-08-17 |
| 1629695739 | Connieflower Behavioral Health | Community/Behavioral Health | 6738 Tramcus Dr, Indianapolis, IN 46260-4586 | 2020-07-06 |
| 1437773322 | Carter Counseling Services LLC | Community/Behavioral Health | 1387 N Shadeland Ave Ste B, Indianapolis, IN 46219-3605 | 2020-06-05 |
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1013538081 | Progressions Counseling, LLC | Community/Behavioral Health | 250 S Washington St Ste 2, Hobart, IN 46342-4151 | 2020-05-01 |
| 1265061998 | Gateway Psychological Services | Community/Behavioral Health | 435 E Main St Ste 195, Greenwood, IN 46143-1456 | 2020-04-04 |
| 1619500626 | Family Strength Services | Community/Behavioral Health | 10026 E 21st St Ste 9, Indianapolis, IN 46229-1802 | 2020-02-18 |
| 1619509080 | Revive Counseling and Wellness | Community/Behavioral Health | 317 S Eddy St, South Bend, IN 46617-3201 | 2020-02-04 |
| 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.