| Mindset Behavioral Health Pc | |
|
7230 Arbuckle Cmns Ste 203 Brownsburg IN 46112-1795 | |
| (317) 554-7419 | |
| (812) 559-9192 |
| Full Name | Mindset Behavioral Health Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 7230 Arbuckle Cmns Ste 203, Brownsburg, Indiana |
| Authorized Official Name and Position | Kimberly Mae Hizer (OWNER) |
| Authorized Official Contact | 3175547419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindset Behavioral Health Pc 745 Abbey Rd Pittsboro IN 46167-8994 Ph: (317) 554-7419 | Mindset Behavioral Health Pc 7230 Arbuckle Cmns Ste 203 Brownsburg IN 46112-1795 Ph: (317) 554-7419 |
| NPI Number | 1881431930 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 4486195849 |
|---|---|
| Medicare Enrollment ID | O20240925002260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881431930 | NPI | - | NPPES |
| 300094818 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Emily A Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770506339 PECOS PAC ID: 0345304796 Enrollment ID: I20090129000204 |
| Provider Name | Kimberly Hizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528614047 PECOS PAC ID: 8022347822 Enrollment ID: I20190904000418 |
| Provider Name | Jaima L Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104472406 PECOS PAC ID: 6002147477 Enrollment ID: I20191016001413 |
| Provider Name | Elijah Wilder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083976971 PECOS PAC ID: 9133496193 Enrollment ID: I20201030001378 |
| Provider Name | Mariah Sexton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134739428 PECOS PAC ID: 8527592328 Enrollment ID: I20241115003191 |
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