Organization Active NPI

Dunn Family Therapy, Inc.

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1982119525
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005062A Issued in IN
Legal business name
DUNN FAMILY THERAPY, INC.
Practice address
9002 N Meridian St Ste 200
Indianapolis, IN 46260-5350
Phone
(260) 433-7473
Fax
(260) 407-8008
NPI assigned
Dec 5, 2017
Last updated
Dec 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Holly R Dunn, MSW, LCSW
Title
Owner
Phone
(260) 433-7473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005062A IN Primary

Addresses

Primary practice location

9002 N Meridian St Ste 200
Indianapolis, IN 46260-5350

Mailing address

9002 N Meridian St Ste 200
Indianapolis, IN 46260-5350
Phone (260) 433-7473

National Provider Directory

National Provider Directory

Locations

6211 Constitution Dr
#A
Fort Wayne, IN 46804
Phone (260) 433-7473

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1982119525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605350",
            "telephone_number": "260-433-7473",
            "fax_number": "260-407-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605350",
            "telephone_number": "260-433-7473",
            "fax_number": "260-407-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-433-7473",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005062A",
            "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 Dec 5, 2017; 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.