Individual provider Active NPI

Dolorita Rose Sweeney, D.O.

  • Child & Adolescent Psychiatry Physician
  • Fort Wayne, IN
National Provider Identifier
1508914623
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
02004855A Issued in IN
Practice address
4666 W Jefferson Blvd
Suite 144
Fort Wayne, IN 46804-6892
Phone
(260) 407-8000
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 184771 NY
Child & Adolescent Psychiatry Physician 2084P0804X 184771 NY
Child & Adolescent Psychiatry Physician 2084P0804X 02004855A IN Primary
Psychiatry Physician 2084P0800X 02004855A IN

Addresses

Primary practice location

4666 W Jefferson Blvd
Suite 144
Fort Wayne, IN 46804-6892

Mailing address

4666 W Jefferson Blvd
Suite 144
Fort Wayne, IN 46804-6892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114000840 IN Practitioner - Psychiatry 7214002401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Clinics IncGroup PAC ID 8022926294, 18 clinicians

Practice addresses (Care Compare)

1717 S Calhoun St
Fort Wayne, IN 46802-5257
Phone (260) 458-2641

1721 S Calhoun St
Fort Wayne, IN 46802-5257
Phone (260) 458-2641

750 Broadway
Suite 350
Fort Wayne, IN 46802-1412
Phone (260) 423-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02004855AINMDChild & Adolescent Psychiatry Physician
184771NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Clinics, Inc CurrentSince Dec 31, 2020 Accepting new patients
Neighborhood Health Clinics, Inc CurrentSince Dec 31, 2020 Accepting new patients
Samaritan Pediatric Services, P.C. Past Accepting new patients
Sco Family of Services Dba Madonna Heights Service Clinic PastSince Nov 20, 2004 Accepting new patients

Locations

1721 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2571

1717 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2641

Interoperability endpoints

  • Direct secure messaging: dolorita.sweeney@nhci.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1508914623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 W JEFFERSON BLVD",
            "address_2": "SUITE 144",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046892",
            "fax_number": "631-643-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4666 W JEFFERSON BLVD",
            "address_2": "SUITE 144",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046892",
            "telephone_number": "260-407-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "DOLORITA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "184771",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "184771",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "02004855A",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "02004855A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.