NPIMap

Organization Active NPI

Munster Behavioral Health, Inc

  • Psychiatry Physician
  • Munster, IN
National Provider Identifier
1295330736
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MUNSTER BEHAVIORAL HEALTH, INC
Practice address
706 Ridge Rd Ste B
Munster, IN 46321-1612
Phone
(219) 356-2240
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Mrs. Emily Djorovic
Title
Office Manager
Phone
(219) 356-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

706 Ridge Rd Ste B
Munster, IN 46321-1612

Mailing address

706 Ridge Rd Ste B
Munster, IN 46321-1612
Phone (219) 356-2240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221116001638 IN Part B Supplier - Clinic/Group Practice 5395113732 Receives reassigned benefits from 9 practitioners
Practice locations: Munster, IN; Merrillville, IN

National Provider Directory

National Provider Directory

Locations

257 W 80th Pl
Merrillville, IN 46410

706 Ridge Rd
Ste B
Munster, IN 46321
Phone (219) 356-2240

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": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1295330736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 RIDGE RD STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211612",
            "telephone_number": "219-356-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 RIDGE RD STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211612",
            "telephone_number": "219-356-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSTER BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "DJOROVIC",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-356-2240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.