NPIMap

Organization Active NPI

Community Hospitals of Indiana, Inc

  • Psychiatry Physician
  • Carmel, IN
National Provider Identifier
1043468176
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COMMUNITY HOSPITALS OF INDIANA, INC
Practice address
11590 N Meridian St
Suite 170
Carmel, IN 46032-6963
Phone
(317) 621-2211
Fax
(317) 621-2218
NPI assigned
Sep 3, 2008
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITALS OF INDIANA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Mr. Jefferey Kirkham
Title
Cfo
Phone
(317) 355-5822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

11590 N Meridian St
Suite 170
Carmel, IN 46032-6963

Mailing address

11590 N Meridian St
Suite 170
Carmel, IN 46032-6963
Phone (317) 621-2211

Other identifiers 1

IdentifierTypeStateIssuer
200931580AMedicaidIN

Other names 1

  • Serenity Medical Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Catherine Cooper CNP

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1043468176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11590 N MERIDIAN ST",
            "address_2": "SUITE 170",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326963",
            "telephone_number": "317-621-2211",
            "fax_number": "317-621-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 N MERIDIAN ST",
            "address_2": "SUITE 170",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326963",
            "telephone_number": "317-621-2211",
            "fax_number": "317-621-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITALS OF INDIANA, INC",
        "enumeration_date": "2008-09-03",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFEREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-355-5822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200931580A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.