NPIMap

Organization Active NPI

Hoosier Psychiatry, PC

  • Psychiatry Physician
  • Bloomington, IN
National Provider Identifier
1407829674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01047349 Issued in IN
Legal business name
HOOSIER PSYCHIATRY, PC
Practice address
101 W Kirkwood Ave
Ste. 103
Bloomington, IN 47404-6129
Phone
(812) 323-8226
Fax
(812) 323-8422
NPI assigned
Feb 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chad William Schultheis, M.D.
Title
Owner
Phone
(812) 323-8226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01047349 IN Primary

Addresses

Primary practice location

101 W Kirkwood Ave
Ste. 103
Bloomington, IN 47404-6129

Mailing address

101 W Kirkwood Ave
Ste. 103
Bloomington, IN 47404-6129
Phone (812) 323-8226

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407829674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE",
            "address_2": "STE. 103",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046129",
            "telephone_number": "812-323-8226",
            "fax_number": "812-323-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE",
            "address_2": "STE. 103",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046129",
            "telephone_number": "812-323-8226",
            "fax_number": "812-323-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER PSYCHIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-323-8226",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01047349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.