Wabash Valley Psychiatry, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WABASH VALLEY PSYCHIATRY, LLC

Practice address

4511 S 7TH St
Terre Haute, IN 47802-4503

Phone

(812) 299-7107

NPI assigned

Oct 24, 2009

Last updated

Apr 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mathews John, M.D.NPI 1174571574

Title

Partner

Phone

(812) 299-7107

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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.

• Mathews John, M.D.

  • Psychiatry Physician
  • Terre Haute, IN
  • NPI 1174571574
  Medicare reassignment Care Compare group NPD Authorized official
• Shahzad A Parvaz, MD

  • Psychiatry Physician
  • Terre Haute, IN
  • NPI 1003878133
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1256342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1811223944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5492 RYANNE MARIE LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028177",
            "telephone_number": "812-299-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024503",
            "telephone_number": "812-299-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH VALLEY PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-24",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "MATHEWS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "812-299-7107",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wabash Valley Health Center, Inc. (St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se)
• Wabash Valley Hospitalists LLC (no dba Wabash Valley Hospitalists LLC)
• Wabash Valley Infectious Diseases Clinic LLC
• Wabash Valley Neurology LLC
• Wabash Valley Podiatry Inc. (Gerald Henke DPM)
• Wabash Valley Safekeepers LLC
• Wabash Valley Surgical Associates LLC
• Wabash Valley Therapy, LLC
• Wabash Valley Urological Assoc Inc
• Kristin Rachelle Wade

• Psychiatry Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.