| Community Addiction Services Inc. | |
|
1431 N. Delaware St. Indianapolis IN 46202 | |
| (317) 536-7100 | |
| (317) 536-7101 |
| Full Name | Community Addiction Services Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1431 N. Delaware St., Indianapolis, Indiana |
| Authorized Official Name and Position | Steven Mccaffrey (CEO) |
| Authorized Official Contact | 3175367100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Addiction Services Inc. 1431 N Delaware St Indianapolis IN 46202-2416 Ph: (317) 536-7100 | Community Addiction Services Inc. 1431 N. Delaware St. Indianapolis IN 46202 Ph: (317) 536-7100 |
| NPI Number | 1043439169 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 8628300597 |
|---|---|
| Medicare Enrollment ID | O20191025000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043439169 | NPI | - | NPPES |
| 200082870 | Medicaid | IN |
| Provider Name | Darrin Mangiacarne |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1417148024 PECOS PAC ID: 7911190137 Enrollment ID: I20151007000897 |
| Provider Name | Niki Angelaki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275817959 PECOS PAC ID: 1951630748 Enrollment ID: I20190903003206 |
| Provider Name | Nicole Mary Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477613263 PECOS PAC ID: 1850711839 Enrollment ID: I20201013000958 |
| Provider Name | Amanda Adhami |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669931341 PECOS PAC ID: 4385038728 Enrollment ID: I20220228002171 |
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