Active NPI
Moses Mental Health
- Psychiatric Residential Treatment Facility
- Indianapolis, IN
National Provider Identifier
1316446628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- 71002822A
- Legal business name
- MOSES MENTAL HEALTH
- Practice address
- 1933 Central Ave
Indianapolis, IN 46202-1610 - Phone
- (765) 491-6515
- Fax
- (317) 602-8951
- NPI assigned
- Feb 2, 2018
- 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
- Marla Moses, PMHNP
- Title
- Owner
- Phone
- (765) 491-6515
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | 71002822A | IN | Primary |
Addresses
Primary practice location
1933 Central Ave
Indianapolis, IN 46202-1610
Mailing address
1933 Central Ave
Indianapolis, IN 46202-1610
Phone (765) 491-6515
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517529600000",
"number": "1316446628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 CENTRAL AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021610",
"telephone_number": "765-491-6515",
"fax_number": "317-602-8951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 CENTRAL AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021610",
"telephone_number": "765-491-6515",
"fax_number": "317-602-8951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSES MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-02",
"last_updated": "2018-02-02",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "MARLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-491-6515",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "IN",
"license": "71002822A",
"primary": true
}
],
"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 Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.