Organization Active NPI

Nulife Indiana, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fishers, IN
National Provider Identifier
1679286272
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NULIFE INDIANA, INC
Practice address
9623 Windermere Blvd
Fishers, IN 46037-9180
Phone
(806) 230-1770
NPI assigned
Dec 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Alex Zieger
Title
Owner
Phone
(845) 372-6480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

9623 Windermere Blvd
Fishers, IN 46037-9180

Mailing address

1451 Route 88 Ste 5
Brick, NJ 08724-2371
Phone (845) 372-6480

Other names 1

  • Nulife Indiana, Inc Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2280591Nulife Indiana Inc9623 Windermere Blvd, Fishers, IN 46037Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

Locations

9623 Windermere Blvd
Fishers, IN 46037
Phone (806) 230-1770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1679286272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ROUTE 88 STE 5",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242371",
            "telephone_number": "845-372-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 WINDERMERE BLVD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379180",
            "telephone_number": "806-230-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULIFE INDIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "ZIEGER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-372-6480"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nulife Indiana, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nulife Indiana, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.