Active NPI
Park View Psychiatric Services
- Clinical Social Worker
- Jeffersonville, IN
National Provider Identifier
1801014626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 50003891A
- Legal business name
- PARK VIEW PSYCHIATRIC SERVICES
- Practice address
- 510 Spring St
Jeffersonville, IN 47130-3554 - Phone
- (812) 282-1888
- Fax
- (812) 218-9318
- NPI assigned
- Apr 24, 2007
- Last updated
- Oct 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven R Shelton
- Title
- President
- Phone
- (812) 282-1888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 50003891A | IN | Primary |
Addresses
Primary practice location
510 Spring St
Jeffersonville, IN 47130-3554
Mailing address
510 Spring Street
Jeffersonville, IN 47130
Phone (812) 282-1888
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5002992 | Other | KY | PASSPORT HEALTH PLAN GROUP # |
| 6764 | Other | KY | MEDICARE GROUP # |
| 7100114160 | Medicaid | KY | |
| CK2274 | Other | KY | MEDICARE RAILROAD |
| 82900176 | Medicaid | KY | |
| 2444451000 | Other | KY | PASSPORT ADVANTAGE |
| CG3623 | Other | IN | MEDICARE RAILROAD |
| 160780 | Other | IN | MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Jeffersonville, IN
- NPI 1215934310
-
- Psychiatry Physician
- Jeffersonville, IN
- NPI 1336146422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444780800000",
"number": "1801014626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SPRING STREET",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "47130",
"telephone_number": "812-282-1888",
"fax_number": "812-218-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303554",
"telephone_number": "812-282-1888",
"fax_number": "812-218-9318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK VIEW PSYCHIATRIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2015-10-14",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-282-1888"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "50003891A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH PLAN GROUP #",
"identifier": "5002992",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "6764",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100114160",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CK2274",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82900176",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2444451000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CG3623",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "160780",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.