NPIMap

Organization Active NPI

Unity Healthcare, LLC

  • Psychologist
  • Lafayette, IN
National Provider Identifier
1699727073
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
103T00000X Issued in IN
Legal business name
UNITY HEALTHCARE, LLC
Practice address
2020 Union St
Lafayette, IN 47904-3432
Phone
(765) 446-5417
Fax
(765) 446-5317
NPI assigned
May 16, 2006
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Martha K Miller
Title
Director of Billing
Phone
(765) 446-5286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 103T00000X IN Primary

Addresses

Primary practice location

2020 Union St
Lafayette, IN 47904-3432

Mailing address

PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 446-5417

Other identifiers 1

IdentifierTypeStateIssuer
CD6272OtherINRAILROAD MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Hsnci Dba Robert C Turn24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1699727073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-446-5417",
            "fax_number": "765-446-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 UNION ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043432",
            "telephone_number": "765-446-5417",
            "fax_number": "765-446-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "765-446-5286"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "103T00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD6272",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.