NPIMap

Organization Active NPI

State of Indiana, Auditor of State

  • Psychiatric Hospital
  • Indianapolis, IN
National Provider Identifier
1043338684
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
STATE OF INDIANA, AUDITOR OF STATE
Practice address
5435 East 16TH Street
Indianapolis, IN 46218-5101
Phone
(317) 941-4000
Fax
(317) 941-4378
NPI assigned
Mar 26, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Donna L Rutherford
Title
Controller, Indiana Family & Social
Phone
(317) 232-7862

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 26

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

View all 26

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040105000564 IN Part B Supplier - Clinic/Group Practice 1759280118 Receives reassigned benefits from 113 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Evansville, IN; Indianapolis, IN; Logansport, IN; Madison, IN; Richmond, IN; West Lafayette, IN

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5435 East 16TH Street
Indianapolis, IN 46218-5101

Mailing address

5435 East 16TH Street
Indianapolis, IN 46218-5101
Phone (317) 941-4000

Other names 1

NPPES NPI Registry
  • NeuroDiagnostic Institute Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2019.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1043338684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 EAST 16TH STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462185101",
            "telephone_number": "317-941-4000",
            "fax_number": "317-941-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 EAST 16TH STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462185101",
            "telephone_number": "317-941-4000",
            "fax_number": "317-941-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF INDIANA, AUDITOR OF STATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CONTROLLER, INDIANA FAMILY & SOCIAL",
        "authorized_official_telephone_number": "317-232-7862"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroDiagnostic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.