Indiana Clinic

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

INDIANA CLINIC

Practice address

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Phone

(317) 962-2622

Fax

(317) 963-8252

NPI assigned

Jul 15, 2010

Organization subpart

No

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

Authorized official

Name

Jane Ann Olise-Aikins, LCSW

Title

Assessment Specialist

Phone

(317) 962-2622

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1730492018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-2622",
            "fax_number": "317-963-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-2622",
            "fax_number": "317-963-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "OLISE-AIKINS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ASSESSMENT SPECIALIST",
        "authorized_official_telephone_number": "317-962-2622",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000119790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana Center for Recovery Indianapolis
• Indiana Center for Surgical Arts
• Indiana Children'S Foot and Ankle Center LLC
• Indiana Chronic Pain & Stress Management Center, Inc.
• Indiana Clinic
• Indiana Clinic
• Indiana Clinic - Sleep Medicine
• Indiana Clinic - Urology, LLC
• Indiana Clinic Critical Care LLC
• Indiana Clinic-Neurology, LLC

• Psychiatric Hospital Unit in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychiatric Hospital Unit in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.