Children'S Sanctuary, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CHILDREN'S SANCTUARY, INC.

Practice address

3711 Rupp Dr
Suite 105
Fort Wayne, IN 46815-4523

Phone

(260) 485-0870

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Claire K. Oberle

Title

Director of Operations

Phone

(260) 485-0870

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1821115569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 RUPP DR",
            "address_2": "SUITE 105",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154523",
            "telephone_number": "260-485-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 RUPP DR",
            "address_2": "SUITE 105",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154523",
            "telephone_number": "260-485-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SANCTUARY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "OBERLE",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "260-485-0870",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IN",
            "license": "53527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.