NPIMap

Organization Active NPI

Connected in Community, LLC

  • Adult Mental Health Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1922605864
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CONNECTED IN COMMUNITY, LLC
Practice address
5625 N German Church Rd Ste 105
Indianapolis, IN 46235-8513
Phone
(317) 207-0380
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Charla Joyce Cannon Yearwood, LSWNPI 1770238545
Title
Owner
Phone
(317) 402-1604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

5625 N German Church Rd Ste 105
Indianapolis, IN 46235-8513

Mailing address

5625 N German Church Rd Ste 105
Indianapolis, IN 46235-8513
Phone (317) 207-0380

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1922605864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 N GERMAN CHURCH RD STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462358513",
            "telephone_number": "317-207-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 N GERMAN CHURCH RD STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462358513",
            "telephone_number": "317-207-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED IN COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "YEARWOOD",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_middle_name": "JOYCE CANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-402-1604",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.