NPIMap

Organization Active NPI

Indianapolis Treatment Center

  • Adult Mental Health Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1134580087
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1275686123 Issued in IN
Legal business name
INDIANAPOLIS TREATMENT CENTER
Practice address
2626 E 46TH St
Indianapolis, IN 46205-2380
Phone
(317) 475-9066
Fax
(317) 257-3602
NPI assigned
Mar 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Karen Elaine Tuttle, LPN
Title
Dispensing Nurse
Phone
(317) 313-3066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1275686123 IN Primary

Addresses

Primary practice location

2626 E 46TH St
Indianapolis, IN 46205-2380

Mailing address

2626 E 46TH St
Indianapolis, IN 46205-2380
Phone (317) 475-9066

National Provider Directory

National Provider Directory
Tax ID family
Indianapolis Treatment LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1134580087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 E 46TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052380",
            "telephone_number": "317-475-9066",
            "fax_number": "317-257-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 46TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052380",
            "telephone_number": "317-475-9066",
            "fax_number": "317-257-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DISPENSING NURSE",
        "authorized_official_telephone_number": "317-313-3066",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IN",
            "license": "1275686123",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 18, 2016; 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.