NPIMap

Organization Active NPI

Park View Psychiatric Services, PSC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1487872636
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
50003891A Issued in IN
Legal business name
PARK VIEW PSYCHIATRIC SERVICES, PSC
Practice address
510 Spring Street
Jeffersonville, IN 47130
Phone
(812) 282-1888
Fax
(812) 285-8392
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Steven R. Shelton, M.D.
Title
President
Phone
(812) 282-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 50003891A IN Primary

Addresses

Primary practice location

510 Spring Street
Jeffersonville, IN 47130

Mailing address

510 Spring Street
Jeffersonville, IN 47130
Phone (812) 282-1888

Other identifiers 19

IdentifierTypeStateIssuer
5002992OtherPASSPORT HEALTH PLAN GROUP #
7100113670MedicaidKY
K005430OtherKYM BLUNK MEDICARE PIN
000000303817OtherJAN BRASHEAR'S ANTHEM #
000000640353OtherANTHEM # FOR BILL COLLINS
200977990OtherINK DAVIS MEDICAID NUMBER
78903689OtherKYMEDICAID GROUP FOR ARNP
000000385875OtherAUDRA SUMMERS ANTHEM #
P00455002OtherINBRASHEAR RR MEDICARE #
1952304040OtherJANICE BRASHEAR ARNP NPI
000000056294OtherANTHEM GROUP #
100386460OtherINMEDICAID GROUP
2444451000OtherKYPASSPORT ADVANTAGE
50002994OtherPASSPORT HEALTH PLAN # FOR JAN BRASHEAR
50704000OtherMAGELLAN GROUP
1255390274OtherAUDRA SUMMERS NPI #
P00065495OtherKYBRASHEAR RR MEDICARE #
0676472OtherKYK DAVIS MEDICARE PIN
50010459OtherPASSORT HEALTH PLAN # FOR SUMMERS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1487872636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SPRING STREET",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-282-1888",
            "fax_number": "812-285-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SPRING STREET",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-282-1888",
            "fax_number": "812-285-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VIEW PSYCHIATRIC SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-282-1888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "50003891A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN GROUP #",
            "identifier": "5002992",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100113670",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M BLUNK MEDICARE PIN",
            "identifier": "K005430",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAN BRASHEAR'S ANTHEM #",
            "identifier": "000000303817",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM # FOR BILL COLLINS",
            "identifier": "000000640353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "K DAVIS MEDICAID NUMBER",
            "identifier": "200977990",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP FOR ARNP",
            "identifier": "78903689",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDRA SUMMERS ANTHEM #",
            "identifier": "000000385875",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRASHEAR RR MEDICARE #",
            "identifier": "P00455002",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JANICE BRASHEAR ARNP NPI",
            "identifier": "1952304040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP #",
            "identifier": "000000056294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "100386460",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2444451000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN # FOR JAN BRASHEAR",
            "identifier": "50002994",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN GROUP",
            "identifier": "50704000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDRA SUMMERS NPI #",
            "identifier": "1255390274",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRASHEAR RR MEDICARE #",
            "identifier": "P00065495",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "K DAVIS MEDICARE PIN",
            "identifier": "0676472",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSORT HEALTH PLAN # FOR SUMMERS",
            "identifier": "50010459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.