Charism Center, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01057949A Issued in IN

Legal business name

CHARISM CENTER, LLC

Practice address

101 E Market St
Logansport, IN 46947-3427

Phone

(574) 753-8000

Fax

(574) 753-8003

NPI assigned

Jun 19, 2007

Last updated

Aug 31, 2007By 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

Dr. Cynthia Spellman, M.D.NPI 1588791040

Title

Medical Director

Phone

(574) 753-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Cynthia Spellman, MD

  • Psychiatry Physician
  • Reston, VA
  • NPI 1588791040
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1083819957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473427",
            "telephone_number": "574-753-8000",
            "fax_number": "574-753-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473427",
            "telephone_number": "574-753-8000",
            "fax_number": "574-753-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "SPELLMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "574-753-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01057949A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000386275",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cass County Auditor (Cass County EMS)
• Cass County Auditor (Cass County Health Department)
• Cass County EMS
• Cass County Wic Program
• Cass Emergency Group PC
• Franka Chin Hong
• Logan Ciotta
• City of Logansport (Logansport Fire Department)
• Karlie Clear
• David Henry Cloud Jr., MD

• Psychiatry Physician in Logansport, IN
• Providers in Logansport, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.