Organization Active NPI

Positivefmhs,LLC

  • Clinical Psychologist
  • Mooresville, IN
National Provider Identifier
1548808397
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
POSITIVEFMHS,LLC
Practice address
11 W Main St
Mooresville, IN 46158-1661
Phone
(317) 371-1681
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Ronald J Beebe, LMFT, PSYD, HSPP
Title
Chief Psychologist
Phone
(317) 371-1681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

11 W Main St
Mooresville, IN 46158-1661

Mailing address

497 1/2 W Jefferson St
Franklin, IN 46131-2111
Phone (317) 371-1681

Other names 1

  • positive focus mental health seervices Former legal business name

National Provider Directory

National Provider Directory

Locations

11 W Main St
Mooresville, IN 46158
Phone (317) 371-1681

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1548808397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 1/2 W JEFFERSON ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312111",
            "telephone_number": "317-371-1681",
            "fax_number": "866-374-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W MAIN ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581661",
            "telephone_number": "317-371-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVEFMHS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "317-371-1681",
        "authorized_official_credential": "LMFT, PSYD, HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "positive focus mental health seervices",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mooresville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.