Organization Active NPI

Bayside Behavioral Health in LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1962240689
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2318696Bayside Behavioral Health5929 Lakeside Blvd, Indianapolis, IN 46278Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.