YWCA NORTH CENTRAL INDIANA (NPI# 1811365604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811365604 |
| Entity Type | Organization |
| Organization Name | YWCA NORTH CENTRAL INDIANA |
| Practice Address |
1102 Fellows St South Bend IN 46601-3514 |
| Mailing Address |
1102 S. Fellows St. South Bend IN 46601-3514 |
| Practice Telephone | 5742339491 |
| Practice Fax Number | 5742339616 |
| Mailing Telephone | 5742339491 |
| Mailing Fax Number | 5742339616 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Authorized Official Name | DR. SHARON DEVINNEY (HEALTH SERVICE PROVIDER PSYCHOLOGY) |
| Authorized Official Telephone | 5742860055 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201211530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922438928 | Ywca North Central Indiana | Substance Abuse Rehabilitation Facility | 1102 Fellows St, South Bend, IN 46601-3514 | 2013-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YWCA NORTH CENTRAL INDIANA, INC. | 1102 Fellows St, South Bend, IN 46601-3514 |
| Indiana Business Entities | YWCA NORTH CENTRAL INDIANA, INC. | 1102 S. Fellows St., South Bend, IN 46601 |
| Street Address |
1102 FELLOWS ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558629634 | Indiana Health Centers, Inc | Clinic/Center | 1102 Fellows St, South Bend, IN 46601-3514 | 2012-04-26 |
| 1295232825 | Jacqueline Werner | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-10 |
| 1477059871 | Jodi L Brumbaugh | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-04 |
| 1275039778 | Marilyn Marie Dodd | Case Manager/Care Coordinator | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-03 |
| 1861998775 | Schalisa Michelle Tate | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-02 |
| 1821593989 | Keilah Ehrman | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-03-29 |
| 1750886842 | Jordan Warth | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-03-29 |
| 1922438928 | Ywca North Central Indiana | Substance Abuse Rehabilitation Facility | 1102 Fellows St, South Bend, IN 46601-3514 | 2013-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| 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 |
| 1356728901 | Story of Hope Counseling | Community/Behavioral Health | 616 E Colfax Ave, South Bend, IN 46617-2827 | 2015-05-04 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on YWCA NORTH CENTRAL INDIANA.
| 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.