Organization Active NPI

New Dawn Behavioral Health LLC

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1457702599
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NEW DAWN BEHAVIORAL HEALTH LLC
Practice address
4601 Bayard Park Dr Ste 202
Evansville, IN 47714-0602
Phone
(812) 202-6311
NPI assigned
Jun 30, 2016
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Lynette Dawn MayNPI 1750872644
Title
Owner
Phone
(812) 629-9785

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Public Health or Welfare Agency 251K00000X 99073631A IN

Addresses

Primary practice location

4601 Bayard Park Dr Ste 202
Evansville, IN 47714-0602

Mailing address

PO Box 3817
Evansville, IN 47736-3817
Phone (812) 629-9785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190923000438 IN Part B Supplier - Clinic/Group Practice 4284964024 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Locations

4601 Bayard Park Dr
Ste 202
Evansville, IN 47714
Phone (812) 202-6311

955 S Hebron Ave
Ste C
Evansville, IN 47714
Phone (812) 477-3977

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1457702599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3817",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477363817",
            "telephone_number": "812-629-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BAYARD PARK DR STE 202",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140602",
            "telephone_number": "812-202-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-629-9785"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IN",
            "license": "99073631A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.