The United Methodist Youth Home Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

210257A Issued in IN

Legal business name

THE UNITED METHODIST YOUTH HOME INC

Practice address

2521 N Burkhardt Rd
Evansville, IN 47715-2151

Phone

(812) 479-7535

Fax

(812) 475-7203

NPI assigned

Jun 3, 2008

Last updated

Jun 3, 2008By 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

Dr. Barbara C. Jessen, PSY D

Title

Executive Director

Phone

(812) 479-7535

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Michelle Marie Lovelady-Smith, L.C.S.W.

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1386949527
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1881853182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 N BURKHARDT RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152151",
            "telephone_number": "812-479-7535",
            "fax_number": "812-475-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 N BURKHARDT RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152151",
            "telephone_number": "812-479-7535",
            "fax_number": "812-475-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNITED METHODIST YOUTH HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "JESSEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-479-7535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "210257A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247020",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Heart Group
• The Heart Group, PC (Henderson Lab and X-Ray)
• The Heart Group, PC (Henderson Lab and X-Ray)
• The Rehabilitation Center, Inc.
• The Rehabilitation Center, Inc.
• The Village Dentist, P.C. (The Village Dentist)
• The Vision Care Center, LLC
• The Well Being LLC
• The Wyndmoor of Evansville, LLC
• Katie Theising, PHARMD

• Clinical Psychologist in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.