Personal Wellness Medical Addiction Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PERSONAL WELLNESS MEDICAL ADDICTION SERVICES

Practice address

7805 Taft St Ste E
Merrillville, IN 46410-5237

Phone

(219) 742-7328

Fax

(219) 343-5454

NPI assigned

Jul 15, 2025

Last updated

Jul 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Vanderberg

Title

FNP-BC, Pmhnp-C

Phone

(219) 742-7328

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1639060700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 TAFT ST STE E",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105237",
            "telephone_number": "219-742-7328",
            "fax_number": "219-343-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 TAFT ST STE E",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105237",
            "telephone_number": "219-742-7328",
            "fax_number": "219-343-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL WELLNESS MEDICAL ADDICTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "VANDERBERG",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "FNP-BC, PMHNP-C",
        "authorized_official_telephone_number": "219-742-7328"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093019994",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yadira Perez, RBT
• Performance Physical Therapy of Merrillville
• Perkin Stang MD
• Kismet Perkins
• Jasmine Perry
• Personal Wellness Medical LLC (Personal Wellness Psychiatric Services)
• Amanda D Peters
• Kelly A Peters, MA
• Michelle M Peters, MSW, LCSW
• Lauren Kay Peterson, LCSW

• Adult Mental Health Clinic/Center in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Adult Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.