Park Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PARK CENTER, INC.

Practice address

909 E State Blvd
Fort Wayne, IN 46805-3404

Phone

(260) 481-2700

Fax

(260) 481-2717

NPI assigned

Dec 6, 2007

Last updated

Oct 31, 2024By 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

Stanton Risser

Title

Acfo

Phone

(260) 266-9380

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Park Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Park Center Inc

  dba Park Center

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
  • NPI 1073405270
  NPD tax ID
• Park Center Inc

  • Psychiatric Hospital
  • Fort Wayne, IN
  • NPI 1457772402
  NPD tax ID
• Park Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, IN
  • NPI 1366719171
  NPD tax ID

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1053594663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053404",
            "telephone_number": "260-481-2700",
            "fax_number": "260-481-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053404",
            "telephone_number": "260-481-2700",
            "fax_number": "260-481-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "RISSER",
        "authorized_official_first_name": "STANTON",
        "authorized_official_title_or_position": "ACFO",
        "authorized_official_telephone_number": "260-266-9380"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100463190B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100463190A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J. Paris, M.D.
• Steven Michael Paris, DO
• Park Center Inc (Park Center)
• Park Center Inc
• Park Center Inc
• Park Place Senior Living, LLC
• Lawrence Eugene Park, DDS
• Alexis Parker
• Breanna L Parker
• Evin Parker, MA, CCC-SLP

• Community/Behavioral Health Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.