Pejus, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PEJUS, INC

Practice address

1515 Magnavox Way
Fort Wayne, IN 46804-1533

Phone

(260) 459-1551

Fax

(260) 459-1451

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ernest M Beal Jr., J.D.

Title

Chief Operating Officer

Phone

(260) 459-1551

Specialties & licenses 1

Addresses

Other names 1

• Your Friends & Neighbors Other name

Tax ID family

Pejus Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pejus, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fort Wayne, IN
  • NPI 1033324801
  NPD tax ID

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1639316086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MAGNAVOX WAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041533",
            "telephone_number": "260-459-1551",
            "fax_number": "260-459-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MAGNAVOX WAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041533",
            "telephone_number": "260-459-1551",
            "fax_number": "260-459-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEJUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "260-459-1551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Friends & Neighbors",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adrienne Michelle Peery, NP
• William Ross Peery II, MD
• Rachelle Pegues
• Sarah Pehlke, PHARMD
• Melinda Peiserich, PA-C
• Pejus, Inc.
• Mallory Nicole Pelfrey
• Philippe Aa Pellerin Jr.
• Jordan Michael Pelton, PHARMD
• Pelviworks Pediatrics, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.