NPIMap

Organization Active NPI

Psychiatric Management Services

  • Psychiatry Physician
  • Anderson, IN
National Provider Identifier
1942677281
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01038074A Issued in IN
Legal business name
PSYCHIATRIC MANAGEMENT SERVICES
Practice address
2725 Enterprise Dr
Anderson, IN 46013-9670
Phone
(317) 870-1553
Fax
(317) 757-8491
NPI assigned
Aug 21, 2015
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Morris D Long
Title
Ceo
Phone
(574) 339-3021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 28076787A IN
Psychiatry Physician 2084P0800X 01038074A IN Primary

Addresses

Primary practice location

2725 Enterprise Dr
Anderson, IN 46013-9670

Mailing address

8465 Keystone Xing
Suite 210
Indianapolis, IN 46240-4355
Phone (317) 870-1396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH, KS, MI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20151005000131 IN Part B Supplier - Clinic/Group Practice 7618285057 Receives reassigned benefits from 11 practitioners
Practice locations: Anderson, IN
O20161010000547 OH Part B Supplier - Clinic/Group Practice 7618285057 Receives reassigned benefits from 16 practitioners
Practice locations: Blue Ash, OH
O20210924001566 KS Part B Supplier - Clinic/Group Practice 7618285057 Receives reassigned benefits from 4 practitioners
Practice locations: Shawnee, KS
O20220121000239 MI Part B Supplier - Clinic/Group Practice 7618285057 Receives reassigned benefits from 1 practitioner
Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory

Locations

8465 Keystone Xing
Ste 210
Indianapolis, IN 46240

11690 Grooms Rd
Blue Ash, OH 45242
Phone (317) 870-1396

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1942677281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 KEYSTONE XING",
            "address_2": "SUITE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404355",
            "telephone_number": "317-870-1396",
            "fax_number": "317-757-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 ENTERPRISE DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460139670",
            "telephone_number": "317-870-1553",
            "fax_number": "317-757-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-339-3021"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28076787A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01038074A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.