Organization Active NPI

Outpatient Behavioral Health Services of Indiana, P.C.

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1164153755
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OUTPATIENT BEHAVIORAL HEALTH SERVICES OF INDIANA, P.C.
Practice address
333 N Alabama St Ste 350
Indianapolis, IN 46204-2275
Phone
(888) 515-3835
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Lisa Diamond, MD
Title
Owner
Phone
(888) 515-3834

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

333 N Alabama St Ste 350
Indianapolis, IN 46204-2275

Mailing address

PO Box 63023
Newark, NJ 07101-8064
Phone (888) 515-3834

Other practice location 1

101 Park Ave Ste 1300
Oklahoma City, OK 73102-7216
Phone (888) 515-3834

Other practice location 2

5838 Edison Pl Ste 100
Carlsbad, CA 92008-5520
Phone (888) 515-3835

Other practice location 3

10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (888) 515-3834

Other practice location 4

400 W Capitol Ave Ste 1700
Little Rock, AR 72201-3438
Phone (888) 515-3834

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1164153755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63023",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071018064",
            "telephone_number": "888-515-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N ALABAMA ST STE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042275",
            "telephone_number": "888-515-3835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Park Ave Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731027216",
            "country_code": "US",
            "telephone_number": "888-515-3834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5838 Edison Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920085520",
            "country_code": "US",
            "telephone_number": "888-515-3835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Dorrance St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032014",
            "country_code": "US",
            "telephone_number": "888-515-3834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Capitol Ave Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722013438",
            "country_code": "US",
            "telephone_number": "888-515-3834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUTPATIENT BEHAVIORAL HEALTH SERVICES OF INDIANA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-515-3834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 20, 2023; 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.