Active NPI
Babak Latefi, MD
- Student in an Organized Health Care Education/Training Program
- Evansville, IN
National Provider Identifier
1760065809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1110 Professional Blvd Ste a
Evansville, IN 47714-8000 - Phone
- (845) 397-7787
- NPI assigned
- May 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1110 Professional Blvd Ste a
Evansville, IN 47714-8000
Mailing address
5444 E Indiana St Ste 109
Evansville, IN 47715-2857
Phone (845) 397-7787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Behavioral Kentucky LLC | Current | Accepting new patients | |
| Virtual Consult MD LLC | Current | Accepting new patients | |
| Better Behavioral Indiana LLC | Current | Accepting new patients | |
| Better Behavioral Georgia LLC | Current | Accepting new patients |
Locations
1110 Professional Blvd
#A
Evansville, IN 47714
Phone (845) 397-7787
5444 E Indiana St
Evansville, IN 47715
Phone (812) 435-9099
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Evansville, IN
- NPI 1033092895
-
- Psychiatry Physician
- Alpharetta, GA
- NPI 1730062431
-
- Psychiatry Physician
- Owensboro, KY
- NPI 1255214953
-
- Psychiatry Physician
- Evansville, IN
- NPI 1871966523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1760065809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5444 E INDIANA ST STE 109",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152857",
"telephone_number": "845-397-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 PROFESSIONAL BLVD STE A",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148000",
"telephone_number": "845-397-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATEFI",
"first_name": "BABAK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-05",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"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 Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.