Active NPI
Ittc Evansville LLC
- Adolescent and Children Mental Health Clinic/Center
- Evansville, IN
National Provider Identifier
1679483242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- ITTC EVANSVILLE LLC
- Practice address
- 1110 Professional Blvd
Evansville, IN 47714-8000 - Phone
- (845) 372-6480
- NPI assigned
- Sep 8, 2026
- 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
- Alexander Zeiger
- Title
- Owner
- Phone
- (845) 372-6480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
1110 Professional Blvd
Evansville, IN 47714-8000
Mailing address
1451 New Jersey 88
Suite 5
Brick Township, NJ 08724
Phone (845) 372-6480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1679483242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 NEW JERSEY 88",
"address_2": "SUITE 5",
"city": "BRICK TOWNSHIP",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "845-372-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148000",
"telephone_number": "845-372-6480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ITTC EVANSVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-07",
"status": "A",
"authorized_official_last_name": "ZEIGER",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-372-6480"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.