Organization Active NPI

New Harvest Therapy Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Munster, IN
National Provider Identifier
1407341787
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
20043103A Issued in IN
Legal business name
NEW HARVEST THERAPY SERVICES, INC.
Practice address
8124 Calumet Ave Ste B
Munster, IN 46321
Phone
(317) 840-8963
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Dr. Jean M Nanos, PSY.D.NPI 1003318122
Title
Director/Owner
Phone
(219) 852-8558

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 20043103A IN Primary

Addresses

Primary practice location

8124 Calumet Ave Ste B
Munster, IN 46321

Mailing address

PO Box 3294
Munster, IN 46321-0294
Phone (219) 852-8558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181204001362 IN Part B Supplier - Clinic/Group Practice 7810232006 Receives reassigned benefits from 3 practitioners
Practice locations: Munster, IN

National Provider Directory

National Provider Directory

Locations

8124 Calumet Ave
Munster, IN 46321
Phone (219) 852-8558

8124 Calumet Ave
Ste B
Munster, IN 46321
Phone (317) 840-8963

7550 Hohman Ave
Ste 500
Munster, IN 46321
Phone (219) 836-0000

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1407341787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3294",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210294",
            "telephone_number": "219-852-8558",
            "fax_number": "219-852-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 CALUMET AVE STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "317-840-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HARVEST THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "NANOS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "219-852-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "20043103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.