Prometheus Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

20042235A Issued in IN

Legal business name

PROMETHEUS PSYCHOLOGICAL SERVICES

Practice address

10214 Chestnut Plaza Dr
Suite 130
Fort Wayne, IN 46814-8970

Phone

(260) 409-8188

NPI assigned

Apr 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Scherbinski

Title

Owner

Phone

(260) 409-8188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Susan Wallace

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1639428931
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1003088758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 CHESTNUT PLAZA DR",
            "address_2": "SUITE 130",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148970",
            "telephone_number": "260-409-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10214 CHESTNUT PLAZA DR",
            "address_2": "SUITE 130",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148970",
            "telephone_number": "260-409-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMETHEUS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SCHERBINSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-409-8188"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "20042235A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.