NPIMap

Organization Active NPI

Aims, LLC

  • Psychiatry Physician
  • Bremen, IN
National Provider Identifier
1376072785
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AIMS, LLC
Practice address
417 S Whitlock St
Bremen, IN 46506-1626
Phone
(574) 546-0330
Fax
(574) 747-8650
NPI assigned
Jun 8, 2017
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Dr. Kashif A. JanjuaNPI 1558522730
Title
President & Ceo
Phone
(443) 739-9997

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU
Internal Medicine Physician 207R00000X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

417 S Whitlock St
Bremen, IN 46506-1626

Mailing address

111 E 3Rd St Unit 764
Mishawaka, IN 46546-4038
Phone (574) 208-9007

Other practice location 1

6720 Parkdale Pl
Indianapolis, IN 46254-4668
Phone (219) 648-2400

Other practice location 2

9330 Broadway
Crown Point, IN 46307-9830
Phone (317) 744-9200

Other practice location 3

1167 Wilson Dr
Greenwood, IN 46143-8221
Phone (574) 277-2630

Other practice location 4

1625 E Jefferson Blvd
Mishawaka, IN 46545-7103
Phone (574) 255-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170721002478 IN Part B Supplier - Clinic/Group Practice 6406126572 Receives reassigned benefits from 87 practitioners
Practice locations: Bremen, IN; Crown Point, IN; Greenwood, IN; Indianapolis, IN; Mishawaka, IN

National Provider Directory

National Provider Directory

Locations

1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101

111 E 3rd St
Unit 764
Mishawaka, IN 46546

Practitioners & affiliated clinicians

Practitioners 103

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.

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1376072785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 3RD ST UNIT 764",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465464038",
            "telephone_number": "574-208-9007",
            "fax_number": "574-747-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S WHITLOCK ST",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061626",
            "telephone_number": "574-546-0330",
            "fax_number": "574-747-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6720 Parkdale Pl",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462544668",
            "country_code": "US",
            "telephone_number": "219-648-2400",
            "fax_number": "574-747-8650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9330 Broadway",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463079830",
            "country_code": "US",
            "telephone_number": "317-744-9200",
            "fax_number": "574-747-8650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1167 Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461438221",
            "country_code": "US",
            "telephone_number": "574-277-2630",
            "fax_number": "574-747-8650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 E Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465457103",
            "country_code": "US",
            "telephone_number": "574-255-1400",
            "fax_number": "574-747-8650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AIMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "JANJUA",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "443-739-9997",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.