Spectrum Community Services of Indiana LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SPECTRUM COMMUNITY SERVICES OF INDIANA LLC

Practice address

5038 Greenview Court
Battle Ground, IN 47920

Phone

(765) 567-0063

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. M Deborah Frisk, MSW

Title

Vice President

Phone

(262) 569-5515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285756841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "DOUSMAN",
            "state": "WI",
            "postal_code": "53118",
            "telephone_number": "262-569-5515",
            "fax_number": "262-569-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 GREENVIEW COURT",
            "city": "BATTLE GROUND",
            "state": "IN",
            "postal_code": "47920",
            "telephone_number": "765-567-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM COMMUNITY SERVICES OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRISK",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "262-569-5515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Catherine Ahlenius, RD, LD
• Indiana Neuromonitoring LLC
• Lucas Mansfield, PHARMD
• Antonya Prior
• Callie Marie Stoneking, OTR
• Brooke Szipszky, OTR/L
• The Online Dietitian, LLC

• Mental Illness Community Based Residential Treatment Facility in Battle Ground, IN
• Providers in Battle Ground, IN by specialty
• Mental Illness Community Based Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.