Organization Active NPI

Denise Briggs, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkhart, IN
National Provider Identifier
1497195606
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
57000137A Issued in IN
Legal business name
DENISE BRIGGS, PC
Practice address
1750 Kilbourn St
Elkhart, IN 46514-1920
Phone
(574) 296-2800
Fax
(574) 266-8066
NPI assigned
Jul 2, 2013
Last updated
Jul 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Dr. Denise Briggs, PHD, HSPPNPI 1265598569
Title
President
Phone
(574) 296-2800

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 57000137A IN Primary

Addresses

Primary practice location

1750 Kilbourn St
Elkhart, IN 46514-1920

Mailing address

1750 Kilbourn St
Elkhart, IN 46514-1920
Phone (574) 296-2800

Other identifiers 2

IdentifierTypeStateIssuer
1265598569OtherINTYPE I NPI
2005530390MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131023002359 IN Part B Supplier - Clinic/Group Practice 3476788670 Receives reassigned benefits from 1 practitioner
Practice locations: Elkhart, IN

National Provider Directory

National Provider Directory

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": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1497195606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-296-2800",
            "fax_number": "574-266-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-296-2800",
            "fax_number": "574-266-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE BRIGGS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-296-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, HSPP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "57000137A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1265598569",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005530390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.