Active NPI
Clarksville Psych Hospital, LLC
Doing business as Brightwell Behavioral Health
- Adult Mental Health Clinic/Center
- Clarksville, IN
National Provider Identifier
1033988100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- CLARKSVILLE PSYCH HOSPITAL, LLC
- Doing business as
- Brightwell Behavioral Health
- Practice address
- 1612 Blackiston View Dr
Clarksville, IN 47129-2013 - Phone
- (812) 670-4760
- Fax
- (812) 725-8702
- NPI assigned
- Dec 29, 2023
- Last updated
- Dec 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Moore
- Title
- Revenue Director
- Phone
- (219) 804-2526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1612 Blackiston View Dr
Clarksville, IN 47129-2013
Mailing address
PO Box 1284
Indianapolis, IN 46206-1284
Phone (812) 670-4760
Other names 1
- Brightwell Behavioral Health
National Provider Directory
National Provider Directory- Tax ID family
- Clarksville Psych Hospital LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Brightwell Behavioral Health
- Psychiatric Hospital
- Clarksville, IN
- NPI 1194373571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703808000000",
"number": "1033988100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1284",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061284",
"telephone_number": "812-670-4760",
"fax_number": "812-725-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 BLACKISTON VIEW DR",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471292013",
"telephone_number": "812-670-4760",
"fax_number": "812-725-8702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARKSVILLE PSYCH HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-29",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "REVENUE DIRECTOR",
"authorized_official_telephone_number": "219-804-2526"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brightwell Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clarksville, IN
- Clarkson Optometry Midwest Inc (Clarkson Eyecare)
- Clarksville Community School Corporation
- Clarksville Dental Care, LLC
- Clarksville MRI
- Clarksville Primary Care, LLC
- Clarksville Psych Hospital, LLC (Brightwell Behavioral Health)
- Clarksville Rehabilitation Hospital LLC
- Clarksville Spine and Rehabilitation
- Clean Health Medical, LLC
- Cobalt Rehabilitation Hospital Louisville LLC (Cobalt Rehabilitation Hospital Louisville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.