Active NPI
Outpatient Behavioral Health Services of Indiana, P.C.
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1164153755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | |||
| Physician Assistant | 363A00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryNPI 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.