Organization Active NPI

Indy Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
National Provider Identifier
1356959068
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INDY BEHAVIORAL HEALTH LLC
Practice address
2629 Waterfront Parkway East Dr Ste 375
Indianapolis, IN 46214-2026
Phone
(317) 978-0257
Fax
(317) 974-9077
NPI assigned
Jul 20, 2020
Last updated
Aug 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2026

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

Authorized official

Name
Sonya Kay Ruedlinger, APRNNPI 1245586718
Title
Ceo
Phone
(317) 978-0257

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2629 Waterfront Parkway East Dr Ste 375
Indianapolis, IN 46214-2026

Mailing address

2629 Waterfront Parkway East Dr Ste 375
Indianapolis, IN 46214-2026
Phone (317) 978-0257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215002617 IN Part B Supplier - Clinic/Group Practice 8325450372 Receives reassigned benefits from 2 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

205 S Walnut St
Ste 11
Bloomington, IN 47404
Phone (317) 978-0257

2611 Waterfront Parkway East Dr
Ste 370
Indianapolis, IN 46214
Phone (317) 978-0257

Practitioners & affiliated clinicians

Practitioners 4

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": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786233600000",
    "number": "1356959068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 WATERFRONT PARKWAY EAST DR STE 375",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142026",
            "telephone_number": "317-978-0257",
            "fax_number": "317-974-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 WATERFRONT PARKWAY EAST DR STE 375",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142026",
            "telephone_number": "317-978-0257",
            "fax_number": "317-974-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2026-08-09",
        "certification_date": "2026-08-09",
        "status": "A",
        "authorized_official_last_name": "RUEDLINGER",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-978-0257",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 9, 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.