NPIMap

Organization Active NPI

Oaklawn Psychiatric Center, Inc.

  • Psychiatric Residential Treatment Facility
  • Goshen, IN
National Provider Identifier
1720163603
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
73744 Issued in IN
Legal business name
OAKLAWN PSYCHIATRIC CENTER, INC.
Practice address
330 Lakeview Dr
Goshen, IN 46528-9365
Phone
(574) 533-1234
Fax
(574) 537-2652
NPI assigned
Oct 26, 2006
Organization subpart
Yes
Parent organization
OAKLAWN PSYCHIATRIC CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Lynn J. Miller
Title
V.P. - Finance, C.F.O.
Phone
(574) 533-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 73744 IN Primary

Addresses

Primary practice location

330 Lakeview Dr
Goshen, IN 46528-9365

Mailing address

330 Lakeview Dr
Goshen, IN 46528-9365
Phone (574) 533-1234

National Provider Directory

National Provider Directory
Tax ID family
Oaklawn Psychiatric Center8 organizations share this tax ID, including this one
Part of
Oaklawn Psychiatric Center

Other organizations with this tax ID 7

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1720163603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LAKEVIEW DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465289365",
            "telephone_number": "574-533-1234",
            "fax_number": "574-537-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAKEVIEW DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465289365",
            "telephone_number": "574-533-1234",
            "fax_number": "574-537-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAWN PSYCHIATRIC CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKLAWN PSYCHIATRIC CENTER, INC.",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "V.P. - FINANCE, C.F.O.",
        "authorized_official_telephone_number": "574-533-1234"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IN",
            "license": "73744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.