Active NPI
Cain Psychiatric Services PC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1467248401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CAIN PSYCHIATRIC SERVICES PC
- Practice address
- 4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6838 - Phone
- (260) 422-9372
- Fax
- (260) 422-0843
- NPI assigned
- Apr 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Cain, PMHNP
- Title
- Owner
- Phone
- (260) 422-9372
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6838
Mailing address
4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6838
Phone (260) 422-9372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Wayne, IN
- NPI 1336410703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749772800000",
"number": "1467248401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4656 W JEFFERSON BLVD STE 285",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046838",
"telephone_number": "260-422-9372",
"fax_number": "260-422-0843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4656 W JEFFERSON BLVD STE 285",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046838",
"telephone_number": "260-422-9372",
"fax_number": "260-422-0843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAIN PSYCHIATRIC SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-16",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A",
"authorized_official_last_name": "CAIN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "260-422-9372",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.