Northside Psychotherapy Services, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

39001711A Issued in IN

Legal business name

NORTHSIDE PSYCHOTHERAPY SERVICES, LLC

Doing business as

April S. Katherine Lynch

Practice address

921 E 86TH St
Suite 210
Indianapolis, IN 46240-1859

Phone

(317) 202-0801

Fax

(317) 253-8767

NPI assigned

Feb 15, 2007

Last updated

Aug 19, 2008By 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

April S. Katherine Lynch, LMHCNPI 1619010758

Title

Owner

Phone

(317) 202-0801

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• April S. Katherine Lynch Doing business as

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.

• April S. Katherine Lynch, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1619010758
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1407999543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 86TH ST",
            "address_2": "SUITE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401841",
            "telephone_number": "317-202-0801",
            "fax_number": "317-253-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E 86TH ST",
            "address_2": "SUITE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401859",
            "telephone_number": "317-202-0801",
            "fax_number": "317-253-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "APRIL S. KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-202-0801",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "39001711A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200532630A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "April S. Katherine Lynch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northside Gastroenterology, Inc., PC
• Northside Mental Health
• Northside Surgical Specialists, PC
• Northview Dental
• Northwest Medical Pain Control Services, PC
• Northwest Optical
• Northwest Radiology Network P C (Northwest Radiology Network)

• Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.