NPIMap

Organization Active NPI

Samaritan Behavioral Healthcare

  • Professional Counselor
  • Scottsburg, IN
National Provider Identifier
1245497213
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
39000208A Issued in IN
Legal business name
SAMARITAN BEHAVIORAL HEALTHCARE
Practice address
969 W McClain Ave
Suite B
Scottsburg, IN 47170
Phone
(812) 754-1660
Fax
(812) 754-1664
NPI assigned
May 19, 2008
Last updated
Apr 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Dr. Done Kristen Small, PH.D.
Title
Ceo and President
Phone
(812) 754-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 39000208A IN Primary

Addresses

Primary practice location

969 W McClain Ave
Suite B
Scottsburg, IN 47170

Mailing address

P.O. Box 462
P.O. Box 462
Scottsburg, IN 47170
Phone (812) 754-1660

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Behavioral Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1245497213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 462",
            "address_2": "P.O. BOX 462",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "47170",
            "telephone_number": "812-754-1660",
            "fax_number": "812-754-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 W MCCLAIN AVE",
            "address_2": "SUITE B",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "47170",
            "telephone_number": "812-754-1660",
            "fax_number": "812-754-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "DONE",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "812-754-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39000208A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.