Brentwood Meadows, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01043877A Issued in IN

Legal business name

BRENTWOOD MEADOWS, LLC

Doing business as

Brentwood Meadows

Practice address

4488 Roslin Rd
Newburgh, IN 47630-8590

Phone

(812) 858-7200

NPI assigned

Sep 23, 2013

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

BRENTWOOD MEADOWS, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Donna Salee West, RN

Title

Director of License and Regulation

Phone

(812) 598-8989

Specialties & licenses 2

Addresses

Other names 1

• Brentwood Meadows Doing business as

Part of

Brentwood Meadows LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brentwood Meadows, LLC

  dba Brentwood Springs

  • Psychiatric Hospital
  • Newburgh, IN
  • NPI 1457594830
  NPPES parent name

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1508292582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 ROSLIN RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308590",
            "telephone_number": "812-858-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 ROSLIN RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308590",
            "telephone_number": "812-858-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD MEADOWS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRENTWOOD MEADOWS, LLC",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "SALEE",
        "authorized_official_title_or_position": "DIRECTOR OF LICENSE AND REGULATION",
        "authorized_official_telephone_number": "812-598-8989",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71003322A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01043877A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Meadows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jailyn Brantley, RBT
• Haley Brauser
• Brentwood Meadows Physician Group
• Brentwood Meadows Physician Group LLC
• Brentwood Meadows, LLC (Brentwood Springs)
• Bright Outlook Counseling
• Sharon Dolor Andrade Briones, PT
• Adrian Brittain
• Broadview Enterprises LLC (Broadview Medical Center)
• Lena Brockman, RBT

• Psychiatry Physician in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.