Organization Active NPI

Community Addiction Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
National Provider Identifier
1043439169
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMMUNITY ADDICTION SERVICES INC.
Practice address
1431 N. Delaware St.
Indianapolis, IN 46202
Phone
(317) 536-7100
Fax
(317) 536-7101
NPI assigned
Apr 25, 2007
Last updated
Oct 23, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MENTAL HEALTH AMERICA INDIANAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Mr. Steven McCaffrey, JD
Title
Ceo
Phone
(317) 536-7100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001560A IN

Addresses

Primary practice location

1431 N. Delaware St.
Indianapolis, IN 46202

Mailing address

1431 N Delaware St
Indianapolis, IN 46202-2416
Phone (317) 536-7100

Other identifiers 1

IdentifierTypeStateIssuer
200082870MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191025000208 IN Part B Supplier - Clinic/Group Practice 8628300597 Receives reassigned benefits from 5 practitioners
Practice locations: Franklin, IN; Indianapolis, IN

National Provider Directory

National Provider Directory
Part of
Mental Health Association in Indiana Inc

Locations

100 E Madison St
Ste 1
Franklin, IN 46131
Phone (317) 536-7100

1431 N Delaware St
Indianapolis, IN 46202
Phone (317) 536-7100

1440 Hudson St
Indianapolis, IN 46202
Phone (317) 887-3290

6350 N Shadeland Ave
Ste 5
Indianapolis, IN 46220
Phone (317) 887-3290

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1043439169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N DELAWARE ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022416",
            "telephone_number": "317-536-7100",
            "fax_number": "317-536-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N. DELAWARE ST.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46202",
            "telephone_number": "317-536-7100",
            "fax_number": "317-536-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ADDICTION SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH AMERICA INDIANA",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "MCCAFFREY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-536-7100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001560A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200082870",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 23, 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.