Organization Active NPI

Partners in Hope Indiana LLC

  • Psychiatry Physician
  • West Lafayette, IN
National Provider Identifier
1578150264
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PARTNERS IN HOPE INDIANA LLC
Practice address
1048B Sagamore Pkwy W # 1004
West Lafayette, IN 47906-1446
Phone
(708) 840-3733
NPI assigned
Dec 29, 2020
Last updated
Nov 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Yusuf Salah, MDNPI 1922413327
Title
President
Phone
(224) 777-8034

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1048B Sagamore Pkwy W # 1004
West Lafayette, IN 47906-1446

Mailing address

415 W Golf Rd Ste 26
Arlington Heights, IL 60005-3923
Phone (224) 777-8034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324001889 IN Part B Supplier - Clinic/Group Practice 6507273273 Receives reassigned benefits from 10 practitioners
Practice locations: East Chicago, IN; West Lafayette, IN; Valparaiso, IN; Saint John, IN; Munster, IN; Merrillville, IN; Hammond, IN; Dyer, IN…

National Provider Directory

National Provider Directory

Locations

10820 Park Pl
Saint John, IN 46373
Phone (219) 351-5200

Practitioners & affiliated clinicians

Practitioners 10

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": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1578150264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 26",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "224-777-8034",
            "fax_number": "224-236-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048B SAGAMORE PKWY W # 1004",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061446",
            "telephone_number": "708-840-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN HOPE INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "SALAH",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-777-8034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.