NPIMap

Organization Active NPI

Southern Indiana Treatment Center

  • Community/Behavioral Health Agency
  • Charlestown, IN
National Provider Identifier
1609326313
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
101YA0Y00X/COUNSELOR Issued in IN
Legal business name
SOUTHERN INDIANA TREATMENT CENTER
Practice address
7509 Charlestown Pike
Charlestown, IN 47111-9623
Phone
(812) 256-4415
Fax
(812) 256-3949
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Ronald Everson
Title
Medical Director
Phone
(812) 256-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 101YA0Y00X/COUNSELOR IN Primary

Addresses

Primary practice location

7509 Charlestown Pike
Charlestown, IN 47111-9623

Mailing address

7509 Charlestown Pike
Charlestown, IN 47111-9623
Phone (812) 256-4415

National Provider Directory

National Provider Directory
Tax ID family
Southern Indiana Treatment Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1609326313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 CHARLESTOWN PIKE",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119623",
            "telephone_number": "812-256-4415",
            "fax_number": "812-256-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 CHARLESTOWN PIKE",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119623",
            "telephone_number": "812-256-4415",
            "fax_number": "812-256-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "EVERSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "812-256-4686",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "101YA0Y00X/COUNSELOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.