NPIMap

Organization Active NPI

Uhs Midwest Center for Youth & Families

  • Psychologist
  • Kouts, IN
National Provider Identifier
1619280153
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5180909873540 Issued in IN
Legal business name
UHS MIDWEST CENTER FOR YOUTH & FAMILIES
Practice address
1012 W. Indiana St
Kouts, IN 46347-9703
Phone
(219) 766-2999
Fax
(219) 766-2704
NPI assigned
Jul 26, 2010
Last updated
Oct 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Mr. Michael John Perry
Title
Ceo
Phone
(219) 766-2999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5180909873540 IN
Psychologist 103T00000X 73540 IN
Psychologist 103T00000X 5180909873540 IN Primary

Addresses

Primary practice location

1012 W. Indiana St
Kouts, IN 46347-9703

Mailing address

P.O. Box 669
1012 W. Indiana St
Kouts, IN 46347-9703
Phone (219) 766-2999

Other identifiers 1

IdentifierTypeStateIssuer
200465920AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Uhs Midwest Center for Youth Families4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1619280153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 669",
            "address_2": "1012 W. INDIANA ST",
            "city": "KOUTS",
            "state": "IN",
            "postal_code": "463479703",
            "telephone_number": "219-766-2999",
            "fax_number": "219-766-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W. INDIANA ST",
            "city": "KOUTS",
            "state": "IN",
            "postal_code": "463479703",
            "telephone_number": "219-766-2999",
            "fax_number": "219-766-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS MIDWEST CENTER FOR YOUTH & FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-766-2999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "5180909873540",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "73540",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "5180909873540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200465920A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kouts, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.