Organization Active NPI

Be Transformed, Inc

Doing business as Dr. Barbara Critton-Green, PhD

  • Clinical Psychologist
  • Merrillville, IN
National Provider Identifier
1942563622
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040724A Issued in IN
Legal business name
BE TRANSFORMED, INC
Doing business as
Dr. Barbara Critton-Green, PhD
Practice address
6111 Harrison Street
Suite 204
Merrillville, IN 46410-2972
Phone
(219) 730-7773
Fax
(219) 455-6231
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Barbara Critton-Green, PHDNPI 1376657395
Title
President
Phone
(219) 730-7773

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
Clinical Psychologist 103TC0700X 20040724A IN Primary

Addresses

Primary practice location

6111 Harrison Street
Suite 204
Merrillville, IN 46410-2972

Mailing address

6111 Harrison Street
Suite 204
Merrillville, IN 46410-2972
Phone (219) 730-7773

Other identifiers 2

IdentifierTypeStateIssuer
215920OtherINMEDICARE PTIN
200034070CMedicaidIN

Other names 1

  • Dr. Barbara Critton-Green, PhD Doing business as

National Provider Directory

National Provider Directory

Locations

6111 Harrison St
Ste 204
Merrillville, IN 46410
Phone (219) 730-7773

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1942563622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 HARRISON STREET",
            "address_2": "SUITE 204",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102972",
            "telephone_number": "219-730-7773",
            "fax_number": "219-455-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 HARRISON STREET",
            "address_2": "SUITE 204",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102972",
            "telephone_number": "219-730-7773",
            "fax_number": "219-455-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE TRANSFORMED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "CRITTON-GREEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-730-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040724A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTIN",
            "identifier": "215920",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034070C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Barbara Critton-Green, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.