Teen Recovery Center, LLC

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

20041149A Issued in IN

Legal business name

TEEN RECOVERY CENTER, LLC

Practice address

7 Meadows Shopping Ctr # L
Terre Haute, IN 47803-2373

Phone

(812) 234-3838

Fax

(812) 234-5026

NPI assigned

Nov 3, 2006

Last updated

Aug 22, 2020By 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

Robbe Chrisman, MS

Title

Owner

Phone

(812) 234-3838

Specialties & licenses 1

Addresses

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.

• Craig C Hedrick

  • Clinical Social Worker
  • Richmond, IN
  • NPI 1215948583
  NPD (past)
• Suellyn M Mahan, PH.D

  • School Psychologist
  • Terre Haute, IN
  • NPI 1316930357
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871672642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MEADOWS SHOPPING CTR # L",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032373",
            "telephone_number": "812-234-3838",
            "fax_number": "812-234-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MEADOWS SHOPPING CTR # L",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032373",
            "telephone_number": "812-234-3838",
            "fax_number": "812-234-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISMAN",
        "authorized_official_first_name": "ROBBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-234-3838",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "20041149A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ann Tarwater
• Christina Sue Taylor, MS CCC SLP
• Megan Marie Taylor, MA, BCBA
• Natalie Nicole Taylor
• TCP Management (Apex Home Health)
• Philip M Tenbrink, M.D.
• Terre Haute Aal LP (Silver Birch of Terre Haute)
• Terre Haute Anesthesiology LLC
• Terre Haute Counseling Services, LLC
• Terre Haute Endocrinology and Diabetes LLC

• School Psychologist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• School Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.