Active NPI
Jamie Sells
- Social Worker
- South Bend, IN
National Provider Identifier
1639816622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1001 N Hickory Rd Ste 3
South Bend, IN 46615-3700 - Phone
- (574) 314-5987
- NPI assigned
- May 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IN | Primary |
Addresses
Primary practice location
1001 N Hickory Rd Ste 3
South Bend, IN 46615-3700
Mailing address
1008 Angela Dr Apt F
Lakeville, IN 46536-9273
Phone (574) 225-2524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Pointe LLC | Current | Accepting new patients |
Locations
1001 N Hickory Rd
Ste 3
South Bend, IN 46615
Phone (574) 232-3100
Interoperability endpoints
- https://api.platform.athenahealth.com/24035/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Mishawaka, IN
- NPI 1861087355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1639816622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 ANGELA DR APT F",
"city": "LAKEVILLE",
"state": "IN",
"postal_code": "465369273",
"telephone_number": "574-225-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N HICKORY RD STE 3",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466153700",
"telephone_number": "574-314-5987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLS",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.