| Continuum Mental Health And Wellness | |
|
2620 Kessler Boulevard East Dr Ste 235 Indianapolis IN 46220-2897 | |
| (317) 417-3066 | |
| Not Available |
| Full Name | Continuum Mental Health And Wellness |
|---|---|
| Speciality | Psychologist |
| Location | 2620 Kessler Boulevard East Dr Ste 235, Indianapolis, Indiana |
| Authorized Official Name and Position | Jason Hankee (MEMBER) |
| Authorized Official Contact | 3174173066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Continuum Mental Health And Wellness 2620 Kessler Boulevard East Dr Ste 235 Indianapolis IN 46220-2897 Ph: () - | Continuum Mental Health And Wellness 2620 Kessler Boulevard East Dr Ste 235 Indianapolis IN 46220-2897 Ph: (317) 417-3066 |
| NPI Number | 1083159909 |
|---|---|
| Provider Enumeration Date | 01/02/2017 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 3476901919 |
|---|---|
| Medicare Enrollment ID | O20231122001335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083159909 | NPI | - | NPPES |
| 200880470 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042204A (Indiana) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 02002848A (Indiana) | Secondary |
| Provider Name | Edgar G Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124157995 PECOS PAC ID: 1557428422 Enrollment ID: I20090319000520 |
| Provider Name | Jason Andrew Hankee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225158454 PECOS PAC ID: 8426109828 Enrollment ID: I20090625000013 |
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