NPIMap

Organization Active NPI

Zionsville Presbyterian Church

  • Adolescent and Children Mental Health Clinic/Center
  • Zionsville, IN
National Provider Identifier
1861531386
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ZIONSVILLE PRESBYTERIAN CHURCH
Practice address
4715 W 116TH Street
Zionsville, IN 46077
Phone
(317) 873-8140
Fax
(317) 873-8141
NPI assigned
Feb 5, 2007
Organization subpart
Yes
Parent organization
ZIONSVILLE PRESBYTERIAN CHURCHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Jennifer Lynne Nolan
Title
Office Manager the Cabin
Phone
(317) 873-8140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4715 W 116TH Street
Zionsville, IN 46077

Mailing address

4775 W 116TH Street
Zionsville, IN 46077
Phone (317) 873-6503

Other names 1

  • The Cabin A Family Counseling & Resource Center Doing business as

National Provider Directory

National Provider Directory
Part of
Zionsville Presbyterian Church

Locations

4715 W 116th St
Zionsville, IN 46077
Phone (317) 873-8140

4775 W 116th St
Zionsville, IN 46077

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1861531386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 W 116TH STREET",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "46077",
            "telephone_number": "317-873-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 W 116TH STREET",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "46077",
            "telephone_number": "317-873-8140",
            "fax_number": "317-873-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIONSVILLE PRESBYTERIAN CHURCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZIONSVILLE PRESBYTERIAN CHURCH",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER THE CABIN",
        "authorized_official_telephone_number": "317-873-8140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cabin A Family Counseling & Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.