Northside Psychotherapeutics

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

NORTHSIDE PSYCHOTHERAPEUTICS

Doing business as

Northside Psychotherapeutics

Practice address

321 John St
Carmel, IN 46032-1214

Phone

(317) 850-3119

NPI assigned

Jul 13, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth McQuinn, PMHCNS-BCNPI 1053780718

Title

Owner, Provider

Phone

(317) 850-3119

Specialties & licenses 1

Addresses

Other names 1

• Northside Psychotherapeutics Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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

• Elizabeth McQuinn

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Carmel, IN
  • NPI 1053780718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1710559323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 JOHN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321214",
            "telephone_number": "317-850-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 JOHN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321214",
            "telephone_number": "317-850-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PSYCHOTHERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "MCQUINN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "317-850-3119",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bizclaims@kareo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "321 John St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460321214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Northside Psychotherapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Northcutt
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• Leah Notar Donato, DPT
• Jennifer Marie Nottage, MD
• Thomas K Nottingham, D.C.
• Somer Rae Nourse, DNP, PMHNP-BC, RN
• Allison Lorenz Nowak, OD

• Psychiatric/Mental Health Clinical Nurse Specialist in Carmel, IN
• Providers in Carmel, IN by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.