Organization Active NPI

Continuum Mental Health and Wellness

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1083159909
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042204A Issued in IN
Legal business name
CONTINUUM MENTAL HEALTH AND WELLNESS
Practice address
2620 Kessler Boulevard East Dr Ste 235
Indianapolis, IN 46220-2897
Phone
(317) 417-3066
NPI assigned
Jan 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Dr. Jason HankeeNPI 1225158454
Title
Member
Phone
(317) 417-3066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 20042204A IN Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 02002848A IN

Addresses

Primary practice location

2620 Kessler Boulevard East Dr Ste 235
Indianapolis, IN 46220-2897

Mailing address

2620 Kessler Boulevard East Dr Ste 235
Indianapolis, IN 46220-2897

Other identifiers 1

IdentifierTypeStateIssuer
200880470MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231122001335 IN Part B Supplier - Clinic/Group Practice 3476901919 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1083159909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 KESSLER BOULEVARD EAST DR STE 235",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 KESSLER BOULEVARD EAST DR STE 235",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202897",
            "telephone_number": "317-417-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUUM MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-02",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "HANKEE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-417-3066",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042204A",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "02002848A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200880470",
            "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 Nov 1, 2023; 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.