TRI-STATE BEHAVIORAL HEALTH LLC (NPI# 1902073554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902073554 |
| Entity Type | Organization |
| Organization Name | TRI-STATE BEHAVIORAL HEALTH LLC |
| Practice Address |
1116 Millis Ave St. Mary's Warrick Boonville IN 47601 |
| Mailing Address |
1900 Waters Ridge Dr Newburgh IN 47630-8084 |
| Practice Telephone | 8129622353 |
| Practice Fax Number | 8129620915 |
| Mailing Telephone | 8129622353 |
| Mailing Fax Number | 8129620915 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | DR. ANJUM SHEHZAD ASHRAF (MEMBER) |
| Authorized Official Telephone | 8129622353 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01048619A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200478750 A | 05 | |
| IN | MEDICARE - ID | 234630 | 01 |
| Street Address |
1116 MILLIS AVE ST. MARY'S WARRICK |
| City | BOONVILLE |
| State | IN |
| Zip Code | 47601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707103 | Josel V Mijares | Emergency Medicine | 1116 Millis Ave, Boonville, IN 47601-2226 | 2005-06-01 |
| 1417180308 | Keith A Phillips | Radiology | 1116 Millis Ave, Boonville, IN 47601-2226 | 2009-08-26 |
| 1235389321 | Family Counseling Service, LLC | Social Worker | 1116 Millis Ave, Boonville, IN 47601-2226 | 2008-09-24 |
| 1508026402 | Warrick Hospital Inc | General Acute Care Hospital | 1116 Millis Ave, Boonville, IN 47601-2226 | 2008-06-13 |
| 1538328620 | Bhargavi Mandipalle | Family Medicine | 1116 Millis Ave, Ste 101, Boonville, IN 47601-2292 | 2008-06-04 |
| 1679796874 | Ohio Valley Eye Institute | Optometrist | 1116 Millis Ave, Boonville, IN 47601-2242 | 2007-04-10 |
| 1831221597 | Robin Laine | Dietitian, Registered | 1116 Millis Ave, Boonville, IN 47601-2242 | 2007-03-09 |
| 1962533729 | Janelle R Weatherholt | Dietitian, Registered | 1116 Millis Ave, Boonville, IN 47601-2242 | 2007-03-07 |
| 1053478495 | Heidi M Dunniway | Otolaryngology | 1116 Millis Ave, Boonville, IN 47601-2204 | 2007-01-03 |
| 1770681694 | Carl Linge | Radiology | 1116 Millis Ave, Boonville, IN 47601-2242 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617622 | Dante J Grasso | Dentist | 602 W. Locust St., Boonville, IN 47601 | 2018-07-30 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1982097911 | Doctor James E. Eash, D.d.s., P.C. | Exclusive Provider Organization | 911 Aigner Drive, Boonville, IN 47601 | 2015-03-16 |
| 1073734315 | Warrick County School Corp. | Local Education Agency (LEA) | 300 East Gum Street, Boonville, IN 47601 | 2007-05-02 |
| 1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
| 1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
| 1073668273 | St. Mary's Warrick Hospital, Inc. | Medicare Defined Swing Bed Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-25 |
| 1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1376631572 | Kolb & Kolb Dds LLC | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-10-11 |
| 1699879957 | Phillip W Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| Find all providers in zip 47601 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487667416 | James P Given | Psychiatry & Neurology | 315 S 3rd St, Boonville, IN 47601-1723 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051641 | Optimal Medical Services LLC | Psychiatry & Neurology | 10967 Allisonville Rd Ste 110b, Fishers, IN 46038-2634 | 2020-07-23 |
| 1518585462 | Tracy Lynn Genovese | Psychiatry & Neurology | 2718 Laguardia St, Portage, IN 46368-3139 | 2020-07-08 |
| 1457988107 | Quality 360 Healthcare Alliance | Psychiatry & Neurology | 12900 N Meridian St Ste 140, Carmel, IN 46032-5401 | 2020-03-24 |
| 1245707751 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 5320 Weston Rd # B, Evansville, IN 47712-3701 | 2018-11-01 |
| 1932697968 | Cadience Psych LLC | Psychiatry & Neurology | 1340 Blackthorne Trl N, Plainfield, IN 46168-5603 | 2018-04-25 |
| 1841796943 | Larrilyn Louise Grant | Psychiatry & Neurology | 355 W 16th St Dept Of, Indianapolis, IN 46202-2207 | 2018-04-05 |
| 1053761460 | Joel D Hart | Psychiatry & Neurology | 147 E Us Highway 36, Lynn, IN 47355-9193 | 2016-06-16 |
| 1275995698 | Shariff F Tanious | Psychiatry & Neurology | 355 W 16th St Ste 2364, Indianapolis, IN 46202-2279 | 2016-03-24 |
| 1871966523 | Virtual Consult Md LLC | Psychiatry & Neurology | 5444 E Indiana St, Suite 109, Evansville, IN 47715-2857 | 2015-11-03 |
| 1962881318 | Kevin Gerard Masterson | Psychiatry & Neurology | 550 University Blvd # 3124, Indianapolis, IN 46202-5149 | 2015-05-19 |
| 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.