| Thriveworks Telepsychiatry - Indiana Pc | |
|
429 N Pennsylvania St Ste 111 Indianapolis IN 46204-1873 | |
| (855) 284-7483 | |
| Not Available |
| Full Name | Thriveworks Telepsychiatry - Indiana Pc |
|---|---|
| Speciality | Counselor |
| Location | 429 N Pennsylvania St Ste 111, Indianapolis, Indiana |
| Authorized Official Name and Position | Anthony Centore (CEO) |
| Authorized Official Contact | 5402176461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriveworks Telepsychiatry - Indiana Pc Po Box 748465 Atlanta GA 30374-8465 Ph: (855) 284-7483 | Thriveworks Telepsychiatry - Indiana Pc 429 N Pennsylvania St Ste 111 Indianapolis IN 46204-1873 Ph: (855) 284-7483 |
| NPI Number | 1881304418 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Medicare PECOS PAC ID | 3779958467 |
|---|---|
| Medicare Enrollment ID | O20230411002451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881304418 | NPI | - | NPPES |
| Provider Name | Amy Greenfield Abuasabeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396260782 PECOS PAC ID: 4284907312 Enrollment ID: I20170912000136 |
| Provider Name | Aneel Ursani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982085676 PECOS PAC ID: 3577863232 Enrollment ID: I20210330001330 |
| Provider Name | Kimberly Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124791108 PECOS PAC ID: 4385041235 Enrollment ID: I20210921000795 |
| Provider Name | Barbara Ann Center |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497909147 PECOS PAC ID: 5890781017 Enrollment ID: I20230808001545 |
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