NPIMap

Organization Active NPI

Viking Psychiatry LLC

Doing business as Viking Psychiatry & Wellness

  • Psychiatry Physician
  • Fort Wayne, IN
National Provider Identifier
1184292054
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VIKING PSYCHIATRY LLC
Doing business as
Viking Psychiatry & Wellness
Practice address
9025 Coldwater Rd # 100
Fort Wayne, IN 46825-2071
Phone
(260) 459-9225
Fax
(260) 800-1512
NPI assigned
Jun 16, 2021
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Sean Goddard, MSN, APRN, PMHNP-CNPI 1285117143
Title
Founder & Ceo
Phone
(260) 459-9225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

9025 Coldwater Rd # 100
Fort Wayne, IN 46825-2071

Mailing address

9025 Coldwater Rd Ste 100
Fort Wayne, IN 46825-2071
Phone (260) 459-9225

Other practice location 1

3510 Commerce Dr
Warsaw, IN 46580-3925
Phone (260) 459-9225

Other names 2

  • Viking Psychiatry & Wellness Doing business as
  • G & S Psychiatry and TMS LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231215002045 IN Part B Supplier - Clinic/Group Practice 4385093350 Receives reassigned benefits from 6 practitioners
Practice locations: Fort Wayne, IN; Warsaw, IN

National Provider Directory

National Provider Directory

Locations

9025 Coldwater Rd
#100
Fort Wayne, IN 46825
Phone (260) 459-9225

9025 Coldwater Rd
Ste 100
Fort Wayne, IN 46825
Phone (260) 459-9225

9025 Coldwater Rd
Ste 100A
Fort Wayne, IN 46825
Phone (260) 459-9225

6336 Constitution Dr
Fort Wayne, IN 46804

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1184292054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 COLDWATER RD STE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252071",
            "telephone_number": "260-459-9225",
            "fax_number": "260-800-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 COLDWATER RD # 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252071",
            "telephone_number": "260-459-9225",
            "fax_number": "260-800-1512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3510 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465803925",
            "country_code": "US",
            "telephone_number": "260-459-9225",
            "fax_number": "260-800-1512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIKING PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "260-459-9225",
        "authorized_official_credential": "MSN, APRN, PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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": [
        {
            "organization_name": "Viking Psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "G & S Psychiatry and TMS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "G & S Psychiatry and TMS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.