NPIMap

Organization Active NPI

St. Vincent Hospital & Health Care Center, Inc.

  • Psychiatric Hospital Unit
  • Indianapolis, IN
National Provider Identifier
1003866740
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
05-005075-1 Issued in IN
Legal business name
ST. VINCENT HOSPITAL & HEALTH CARE CENTER, INC.
Practice address
8401 Harcourt Rd
Indianapolis, IN 46260-2036
Phone
(317) 338-4600
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Bethany Lynn Morrow
Title
Vice President of Finance
Phone
(765) 437-4759

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X
Psychiatric Hospital Unit 273R00000X 05-005075-1 IN Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X

Addresses

Primary practice location

8401 Harcourt Rd
Indianapolis, IN 46260-2036

Mailing address

8401 Harcourt Rd
Indianapolis, IN 46260-2036
Phone (317) 338-4600

Other identifiers 1

IdentifierTypeStateIssuer
200064190MedicaidIN

Other names 2

  • Ascension St. Vincent Stress Center Doing business as
  • St. Vincent Stress Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000870 IN Part A Provider - Hospital 4981516853 Practice locations: Indianapolis, IN

Hospital certification: CCN 15S084

Legal name
ST. VINCENT HOSPITAL & HEALTH CARE CENTER INC
Doing business as
ASCENSION ST. VINCENT STRESS CENTER
Organization structure
CorporationNon-profit
Incorporated
Jun 9, 1884 in IN
Enrollment address
8401 Harcourt Rd
Indianapolis, IN 46260-2036
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Hospital certification: CCN 154022

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ST VINCENT STRESS CENTER INC
Certification status
Terminated Other: provider status change, Jul 1, 1992
Provider type (POS)
Hospital – Psychiatric
Participating since
Nov 18, 1982
Last certification
Jun 25, 1991
Beds
115
Ownership / control type
Church
Facility address
8401 Harcourt Road
Indianapolis, IN 46260

Hospital certification: CCN 154023

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TRI COUNTY CENTER, INC
Certification status
Terminated Voluntary: other reason for withdrawal, Apr 3, 1992
Provider type (POS)
Hospital – Psychiatric
Participating since
Sep 26, 1984
Last certification
Apr 24, 1991
Beds
30
Ownership / control type
Private (not for profit)
Facility address
8401 Harcourt Rd
Indianapolis, IN 46260

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 15

Organizations listed as members of this organization in the National Provider Directory.

View all 15

Networks

  • OH PPO

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin P Speer Individual Corporate OfficerPresident & Ceo - Home Office May 1, 2023
Michael Hall Individual Corporate DirectorBoard Member Jul 1, 2015
Daniel a Parod Individual Corporate OfficerPresident Dec 1, 2021
W-2 Managing EmployeePresident Dec 1, 2021
Ingrid Mason Individual Corporate DirectorBoard Member Jul 1, 2013
Bethany Morrow Individual Corporate OfficerVice President of Finance Jul 1, 2018
W-2 Managing EmployeeVice President of Finance Jul 1, 2018
David E Hoover Individual Corporate DirectorBoard Member Jul 1, 2020
Eric Dozier Individual Corporate DirectorBoard Member Jul 1, 2018
Stephen Stitle Individual Corporate DirectorBoard Member Jul 1, 2021
James Hurst Individual Corporate DirectorBoard Member Jul 1, 2018
Ascension Health Organization, Saint Louis, MO Non-profit Operational/Managerial Control Oct 17, 2003
Deborah a Lawrence Individual Corporate DirectorBoard Member Jul 1, 2015
Patrice Duckett Individual Corporate DirectorBoard Member Jul 1, 2020
St Vincent Health Inc Organization, Indianapolis, IN Non-profit Operational/Managerial Control Aug 28, 2009 100%
Parveen Chand Individual Corporate DirectorBoard Member Nov 1, 2023
Mary Stubbs Individual Corporate DirectorBoard Member Aug 19, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Orthoindy HospitalIndianapolis, IN, CCN 150160 Hospital 5% Or Greater Direct Ownership Interest (20%) Jun 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 166

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 166

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1003866740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602036",
            "telephone_number": "317-338-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602036",
            "telephone_number": "317-338-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOSPITAL & HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "765-437-4759"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IN",
            "license": "05-005075-1",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200064190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension St. Vincent Stress Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Vincent Stress Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Vincent Stress Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.