Organization Active NPI

Family and Children's Place

  • Community/Behavioral Health Agency
  • New Albany, IN
National Provider Identifier
1154652253
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NA Issued in IN
Legal business name
FAMILY AND CHILDREN'S PLACE
Practice address
2818 Grant Line Rd
New Albany, IN 47150-2492
Phone
(812) 944-6120
Fax
(812) 941-5726
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
McKenzie Beth Smith, M.F.T.
Title
Family Preservation Therapist
Phone
(812) 944-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NA IN Primary

Addresses

Primary practice location

2818 Grant Line Rd
New Albany, IN 47150-2492

Mailing address

2818 Grant Line Rd
New Albany, IN 47150-2492
Phone (812) 944-6120

Other identifiers 1

IdentifierTypeStateIssuer
100415400MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1154652253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 GRANT LINE RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502492",
            "telephone_number": "812-944-6120",
            "fax_number": "812-941-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 GRANT LINE RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502492",
            "telephone_number": "812-944-6120",
            "fax_number": "812-941-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND CHILDREN'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "FAMILY PRESERVATION THERAPIST",
        "authorized_official_telephone_number": "812-944-6120",
        "authorized_official_credential": "M.F.T."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100415400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.