Active NPI
Connieflower Behavioral Health
- Community/Behavioral Health Agency
- Indianapolis, IN
National Provider Identifier
1629695739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CONNIEFLOWER BEHAVIORAL HEALTH
- Practice address
- 6738 Tramcus Dr
Indianapolis, IN 46260-4586 - Phone
- (317) 690-2174
- NPI assigned
- Jul 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela K Madison, LCSW
- Title
- Owner
- Phone
- (317) 690-2174
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6738 Tramcus Dr
Indianapolis, IN 46260-4586
Mailing address
1300 E 86TH St Unit 40583
Indianapolis, IN 46240-9421
Phone (317) 690-2174
National Provider Directory
National Provider DirectoryLocations
1300 E 86th St
Unit 40583
Indianapolis, IN 46240
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Greensburg, IN
- NPI 1922319540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593993600000",
"number": "1629695739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 E 86TH ST UNIT 40583",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462409421",
"telephone_number": "317-690-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6738 TRAMCUS DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462604586",
"telephone_number": "317-690-2174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNIEFLOWER BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A",
"authorized_official_last_name": "MADISON",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-690-2174",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.