Active NPI
Humble Humility Mental Health P.C.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
National Provider Identifier
1396458097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HUMBLE HUMILITY MENTAL HEALTH P.C.
- Practice address
- 55 S State Ave Ste 369
Indianapolis, IN 46201-3873 - Phone
- (317) 983-9945
- Fax
- (463) 271-7786
- NPI assigned
- Dec 28, 2022
- 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
- Latoya C Evans
- Title
- Ceo
- Phone
- (317) 983-9945
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
55 S State Ave Ste 369
Indianapolis, IN 46201-3873
Mailing address
6101 N. Keystone Ave.
Suite 100 #1370
Indianapolis, IN 46220
Phone (317) 983-9945
National Provider Directory
National Provider DirectoryLocations
55 S State Ave
Ste 369
Indianapolis, IN 46201
Phone (317) 983-9945
3607 W 16th St
Ste B3
Indianapolis, IN 46222
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Indianapolis, IN
- NPI 1235804642
-
- Psychosomatic Medicine Physician
- Carmel, IN
- NPI 1184832933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679788800000",
"number": "1396458097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 N. KEYSTONE AVE.",
"address_2": "SUITE 100 #1370",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46220",
"telephone_number": "317-983-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 S STATE AVE STE 369",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462013873",
"telephone_number": "317-983-9945",
"fax_number": "463-271-7786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMBLE HUMILITY MENTAL HEALTH P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-28",
"last_updated": "2023-03-26",
"certification_date": "2023-03-26",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "LATOYA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "317-983-9945"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-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 Mar 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.