Von Bargen Associates, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

VON BARGEN ASSOCIATES, INC.

Practice address

1910 Saint Joe Center Rd
Suite 44
Fort Wayne, IN 46825-5000

Phone

(260) 471-8033

Fax

(260) 471-8107

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Hauschild, PSY.D.NPI 1619928728

Title

President

Phone

(260) 471-8033

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Directions In Aging Doing business as

Medicare fee-for-service enrollment

Enrolled in IN, NC2 enrollments

Enrollment records 2

Tax ID family

Directions in Aging2 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.

• Von Bargen Associates, Inc.

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1811004526
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Balke, PSY.D.

  • Clinical Psychologist
  • Fort Wayne, IN
  • NPI 1790113009
  Medicare reassignment Care Compare group NPD
• Daniel Jeffrey Hauschild, PSY.D.

  • Clinical Psychologist
  • Fort Wayne, IN
  • NPI 1619928728

  NC

  Medicare reassignment Authorized official
• Mary A Larocque, MSW LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1851309876
  Medicare reassignment Care Compare group
• Lisa Macqueen Heller, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1992723977
  NPD (past)
• Ann L Smith, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1972690717
  NPD (past)
• Ryan Oetting, PH.D.

  • Psychologist
  • Brentwood, TN
  • NPI 1699004788
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1366492043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD",
            "address_2": "SUITE 44",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-471-8033",
            "fax_number": "260-471-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD",
            "address_2": "SUITE 44",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-471-8033",
            "fax_number": "260-471-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VON BARGEN ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "HAUSCHILD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-471-8033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200424360A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Directions In Aging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Renee Voght
• Cynthia Lynn Volk, OTR
• Alyssa F Vollmer
• Randy Eugene Vollmer, DDS
• Avery Volz, RBT
• Von Bargen Associates, Inc.
• Wayne James Von Bargen, PH.D.
• Samantha Vonderau, PA
• Jason M Voorhies, M.D.
• Caroline Virginia Voors, PMHCNS-BC

• Clinical Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.