|
| |
|
8051 S Emerson Ave Ste 350 Indianapolis IN 46237-8634 | |
| (317) 859-1020 | |
| (317) 859-4040 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8051 S Emerson Ave Ste 350, Indianapolis, Indiana |
| Authorized Official Name and Position | William Earwood (CFO/CIO) |
| Authorized Official Contact | 3178498350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6983 Hillsdale Ct Indianapolis IN 46250-2054 Ph: (317) 849-8350 | 8051 S Emerson Ave Ste 350 Indianapolis IN 46237-8634 Ph: (317) 859-1020 |
| NPI Number | 1134216393 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134216393 | NPI | - | NPPES |
| CJ9849 | Other | MEDICARE RR | |
| 100218760G | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Indiana) | Primary |
Indiana Behavior Analysis Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2417 Baur Dr, Indianapolis, IN 46220 Phone: 317-414-2147 | |
Smarty Pants Daycare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5355 N Post Rd, Indianapolis, IN 46216 Phone: 317-993-2439 | |
Hns Consulting Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4954 E 56th St Ste 14, Indianapolis, IN 46220 Phone: 317-640-6997 | |
Brain Performance Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3003 E. 98th Street, Suite # 107, Indianapolis, IN 46280 Phone: 463-273-2093 Fax: 317-672-1971 | |
Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 E 86th St, Ste. 101, Indianapolis, IN 46240 Phone: 317-466-1516 |