NPIMap

Organization Active NPI

Password Community Mentoring, Inc.

  • Community/Behavioral Health Agency
  • Indianapolis, IN
National Provider Identifier
1790954964
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PASSWORD COMMUNITY MENTORING, INC.
Practice address
4720 Kingsway Dr Ste 400
Indianapolis, IN 46205-1580
Phone
(317) 585-2791
Fax
(317) 472-7899
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Mr. Thomas R Huckstep
Title
Business Manager
Phone
(317) 472-7903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4720 Kingsway Dr Ste 400
Indianapolis, IN 46205-1580

Mailing address

4720 Kingsway Dr Ste 400
Indianapolis, IN 46205-1580
Phone (317) 585-2791

National Provider Directory

National Provider Directory

Locations

4720 Kingsway Dr
Ste 400
Indianapolis, IN 46205
Phone (317) 205-2900

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1790954964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 KINGSWAY DR STE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051580",
            "telephone_number": "317-585-2791",
            "fax_number": "317-472-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 KINGSWAY DR STE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051580",
            "telephone_number": "317-585-2791",
            "fax_number": "317-472-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSWORD COMMUNITY MENTORING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "HUCKSTEP",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "317-472-7903",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.