NPIMap

Organization Active NPI

Franciscan Physician Network

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1447638903
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
99067018A Issued in IN
Legal business name
FRANCISCAN PHYSICIAN NETWORK
Practice address
610 E Southport Rd
Suite 100
Indianapolis, IN 46227-8590
Phone
(317) 783-8383
Fax
(317) 782-6929
NPI assigned
May 15, 2015
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Donna Phalen
Title
Director
Phone
(219) 554-4548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 99067018A IN Primary

Addresses

Primary practice location

610 E Southport Rd
Suite 100
Indianapolis, IN 46227-8590

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1101668Franciscan Physician Network South 31 Family610 Southport Road Suite 205, Indianapolis, IN 46227Provider-performed microscopyJul 1, 2027
15D2239840Franciscan Physician Network - Franciscan610 E Southport Rd, Suite 110, Indianapolis, IN 46227Certificate of waiverOct 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Franciscan Physician Network16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

610 E Southport Rd
Ste 100
Indianapolis, IN 46227
Phone (317) 783-8383

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1447638903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E SOUTHPORT RD",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462278590",
            "telephone_number": "317-783-8383",
            "fax_number": "317-782-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "PHALEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-554-4548"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99067018A",
            "primary": true
        }
    ],
    "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 Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.