Individual provider Active NPI

Cheryl Gistand

  • Psychiatry Physician
  • Vincennes, IN
National Provider Identifier
1922560440
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11020476A Issued in IN
Practice address
520 S 7TH St
Vincennes, IN 47591-1038
Phone
(812) 885-3228
NPI assigned
Apr 3, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11020476A IN Primary

Addresses

Primary practice location

520 S 7TH St
Vincennes, IN 47591-1038

Mailing address

520 S 7TH St
Vincennes, IN 47591-1038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621001550 IN Practitioner - Psychiatry 5890028872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan HospitalGroup PAC ID 9436061918, 11 clinicians

Practice addresses (Care Compare)

121 Buntin St
Vincennes, IN 47591-1320
Phone (812) 885-2718

515 Bayou St
Vincennes, IN 47591-1034
Phone (812) 886-6800

520 S 7TH St
Vincennes, IN 47591-1038

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Family Health Center, Inc. CurrentSince Jun 21, 2023 Accepting new patients
Good Samaritan Family Health Center, Inc CurrentSince Jun 21, 2023 Accepting new patients
Good Samaritan Family Health Center, Inc Current Accepting new patients
Good Samaritan Hospital Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Good Samaritan Hospital Physician Services, Inc Current Accepting new patients
Good Samaritan Hospital CurrentSince Aug 1, 2023 Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc. Past Accepting new patients
Good Samaritan Family Health Center, Inc. Past Accepting new patients

Locations

611 E Main St
Ste 110
Petersburg, IN 47567
Phone (812) 354-8426

1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500

1027 Washington Ave
#B
Vincennes, IN 47591
Phone (812) 494-7500

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

121 Buntin St
Ste 1
Vincennes, IN 47591
Phone (812) 885-2718

1901 Willow St
Vincennes, IN 47591
Phone (812) 885-2720

300 N 1st St
Vincennes, IN 47591
Phone (812) 494-9510

515 Bayou St
Vincennes, IN 47591
Phone (812) 886-0907

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

615 Dubois St
Vincennes, IN 47591
Phone (812) 885-8010

2007 State St
Washington, IN 47501
Phone (812) 254-1558

Interoperability endpoints

  • Direct secure messaging: cgistand210994@direct.deaconess.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1922560440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038",
            "telephone_number": "812-885-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISTAND",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "11020476A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.