Jed Mental Health PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34005048A Issued in IN

Legal business name

JED MENTAL HEALTH PC

Practice address

192 N State Road 267
Suite 300
Avon, IN 46123-9513

Phone

(317) 672-6400

Fax

(317) 672-6400

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Jane Elizabeth Dinunzio, LCSW

Title

President

Phone

(317) 672-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454198400000",
    "number": "1568739910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 N STATE ROAD 267",
            "address_2": "SUITE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239513",
            "telephone_number": "317-672-6400",
            "fax_number": "317-672-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 N STATE ROAD 267",
            "address_2": "SUITE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239513",
            "telephone_number": "317-672-6400",
            "fax_number": "317-672-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JED MENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2016-01-31",
        "status": "A",
        "authorized_official_last_name": "DINUNZIO",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-672-6400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34005048A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M100060443",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Addie Lyn Jacobs, MS, OTD, OTR
• Megan E Jacobs, CPNP, PMHS
• Hera Jafri, DO
• Meghan Janik, NP-C
• John G Jarrett, MD
• Erin Leigh Jeffries, MD
• Amy L Jelley
• Carla M Jenkins, NP-C
• Mia Bailey Jennings
• Nathan Evan Jennings

• Community/Behavioral Health Agency in Avon, IN
• Providers in Avon, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; 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.