Active NPI
Bayside Behavioral Health in LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BAYSIDE BEHAVIORAL HEALTH IN LLC
- Practice address
- 5929 Lakeside Blvd
Indianapolis, IN 46278-1996 - Phone
- (317) 520-8300
- NPI assigned
- Jul 17, 2024
- Last updated
- Apr 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Braun
- Title
- Ceo
- Phone
- (347) 263-3607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | Primary |
Addresses
Primary practice location
5929 Lakeside Blvd
Indianapolis, IN 46278-1996
Mailing address
5929 Lakeside Blvd
Indianapolis, IN 46278-1996
Phone (317) 520-8300
Other practice location 1
6402 Corporate Dr Ste 103
Indianapolis, IN 46278-2913
Phone (718) 288-1160
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2318696 | Bayside Behavioral Health | Certificate of waiver | Feb 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
5929 Lakeside Blvd
Indianapolis, IN 46278
Phone (317) 520-8300
6402 Corporate Dr
#103
Indianapolis, IN 46278
Phone (718) 288-1160
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Addiction (Substance Use Disorder) Counselor
- Fishers, IN
- NPI 1982297446
-
- Clinical Social Worker
- Avon, IN
- NPI 1245788363
-
- Psychiatry Physician
- Westerville, OH
- NPI 1164759866
-
- Psychiatry Physician
- Temecula, CA
- NPI 1083976971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1962240689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5929 LAKESIDE BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781996",
"telephone_number": "317-520-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5929 LAKESIDE BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781996",
"telephone_number": "317-520-8300"
}
],
"practiceLocations": [
{
"address_1": "6402 Corporate Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462782913",
"country_code": "US",
"telephone_number": "718-288-1160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BAYSIDE BEHAVIORAL HEALTH IN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-17",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "BRAUN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "347-263-3607"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"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 Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.