Active NPI
Madison Center, Inc.
- Psychiatric Hospital
- South Bend, IN
National Provider Identifier
1073565131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- MADISON CENTER, INC.
- Practice address
- 403 E Madison St
South Bend, IN 46617-2322 - Phone
- (574) 283-1107
- Fax
- (574) 283-1131
- NPI assigned
- May 17, 2006
- 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
- Mr. Andrew J Poole III
- Title
- Cfo
- Phone
- (574) 283-1254
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | IN | Primary |
Addresses
Primary practice location
403 E Madison St
South Bend, IN 46617-2322
Mailing address
403 E Madison St
South Bend, IN 46617-2322
Phone (574) 283-1107
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 5
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Psychiatric Residential Treatment Facility
- South Bend, IN
- NPI 1104974989
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Bend, IN
- NPI 1174671952
-
- Community/Behavioral Health Agency
- South Bend, IN
- NPI 1265698120
-
- Psychiatric Hospital
- South Bend, IN
- NPI 1376691154
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Bend, IN
- NPI 1750411872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073565131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 E MADISON ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172322",
"telephone_number": "574-283-1107",
"fax_number": "574-283-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E MADISON ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172322",
"telephone_number": "574-283-1107",
"fax_number": "574-283-1131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "POOLE",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "574-283-1254",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.