Midwest Behavioral Management

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIDWEST BEHAVIORAL MANAGEMENT

Practice address

500 N Meridian St
Suite 400
Indianapolis, IN 46204-1272

Phone

(317) 870-1396

NPI assigned

May 2, 2016

Last updated

Jul 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Morris D Long, PHD

Title

Owner

Phone

(317) 870-1396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1033564778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MERIDIAN ST",
            "address_2": "SUITE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041272",
            "telephone_number": "317-870-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MERIDIAN ST",
            "address_2": "SUITE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041272",
            "telephone_number": "317-870-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BEHAVIORAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-870-1396",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midtown
• Midtown Community Mental Health Clinic
• Midtown Mental Health
• Midway Transitional Group, LLC (Midway Transitional Group)
• Midwest Ambulance Service Inc
• Midwest Center for Pelvic Health LLC
• Midwest Counseling Associates
• Midwest Ear Institute, P.C.
• Midwest Eye Consultants, P.C. (Cataract & Laser Institute - Indianapolis)
• Midwest Eye Consultants, P.C. (Neuro-Ophthalmology Institute)

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.