Midwest Behavioral Health LLC
Organization Active NPI Psychiatry Physician · Evansville, IN
NPI 1427362201 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1427362201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 02001874A (IN)
- Legal business name
- MIDWEST BEHAVIORAL HEALTH LLC
- Practice address
- 7300 E Indiana St
Suite 103
Evansville, IN 47715-2794 - Phone
- (812) 401-8008
- NPI assigned
- Aug 4, 2010
- Organization subpart
- No
Authorized official
- Name
- Ryan Pardo
- Title
- Chief Legal Officer
- Phone
- (206) 399-1493
Practitioners 174
-
Garrett Auer, LMHC, LPC
-
Beth A Barchet, MSW LCSW
-
Alexandra Barnes, LMHC
-
Margaret Beymer, NP
-
Dorothy Bodur, NP
-
Jordyn Leanne Brackett, PMHNP
-
Daniel A Brodsky, LMHC, LCAC
-
Autumn Brown, LCSW
-
Matrika J Brown, NP
-
Sherry Butler, LCSW
-
Stephanie Ann Carson, PMHNP-C,
-
Brandi Shay Cecil, APRN
-
Tessa Nicole Chapman, LMHC
-
Julie Anne Collins, LMHC
-
Kari L Crane, LSW
-
Sarah Dotson, MSW LSW
-
Erin Eacret, LMHC
-
Greg Edie, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110824000118 | IN | Part B Supplier - Clinic/Group Practice | 4587834874 |
Receives reassigned benefits from 166 practitioners Practice locations: Carmel, IN; Avon, IN; Zionsville, IN; Mishawaka, IN; Indianapolis, IN; Evansville, IN; Fishers, IN |
National Provider Directory
Locations
6845 E US Highway 36
Ste 500
Avon, IN 46123
Phone (317) 742-1340
7950 Ortho Ln
Ste 20
Brownsburg, IN 46112
7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008
8205 E 56th St
Ste 200
Indianapolis, IN 46216
Phone (317) 554-4220
8470 Allison Pointe Blvd
Ste 130
Indianapolis, IN 46250
Phone (812) 505-2575
3930 Edison Lakes Pkwy
Ste 320
Mishawaka, IN 46545
Phone (574) 305-2345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 20040842A | IN | |
| Social Worker |
104100000X | 34000761A | IN | |
| Psychiatry Physician |
2084P0800X | 02001874A | IN | Yes |
Addresses
Primary practice location
7300 E Indiana St
Suite 103
Evansville, IN 47715-2794
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (253) 346-0392
Other names
- dba LifeStance Health
Other providers in Evansville, IN
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- Paul B Mick
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All providers in Evansville, IN · Psychiatry Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.