North Clark Behavioral Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NORTH CLARK BEHAVIORAL HEALTH LLC

Practice address

2100 Market St Ste 200
Charlestown, IN 47111-8507

Phone

(812) 503-5100

NPI assigned

Jul 10, 2020

Last updated

Jul 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Smith, CREDENTIALING

Title

Manager

Phone

(502) 244-9859

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Pushpa Pavuluri, M.D.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1194771204
  NPD (past)

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1376161810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S CLARK BLVD # 2100",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471293212",
            "telephone_number": "502-244-9859",
            "fax_number": "770-573-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST STE 200",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471118507",
            "telephone_number": "812-503-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CLARK BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-244-9859",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Mitchell
• Burl Morris
• Sandra Morrison
• Destini Napier, LMHC
• North Clark Anesthesia Group LLC
• North Clark Physicians Group LLC
• North Clark Surgery Center LLC
• William Northern Jr.
• NPF Foot and Ankle (Ferro Foot and Ankle)
• Justin Ownby

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlestown, IN
• Providers in Charlestown, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.