Individual provider Active NPI

Armen Sarkissian, EDD, HSPP

  • Counseling Psychologist
  • Avon, IN
National Provider Identifier
1982600029
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
20040104A Issued in IN
Practice address
6655 E US Highway 36
Cummins Behavioral Health Systems Inc
Avon, IN 46123-8923
Phone
(317) 272-3330
Fax
(317) 272-3331
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 20040104A IN Primary

Addresses

Primary practice location

6655 E US Highway 36
Cummins Behavioral Health Systems Inc
Avon, IN 46123-8923

Mailing address

6655 E US Highway 36
Cummins Behavioral Health Systems Inc
Avon, IN 46123-8923
Phone (317) 272-3330

Other identifiers 2

IdentifierTypeStateIssuer
000000489063OtherINANTHEM BCBS PROVIDER PIN
100336930AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040104AINMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Indiana, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1982600029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 E US HIGHWAY 36",
            "address_2": "CUMMINS BEHAVIORAL HEALTH SYSTEMS INC",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238923",
            "telephone_number": "317-272-3330",
            "fax_number": "317-272-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 E US HIGHWAY 36",
            "address_2": "CUMMINS BEHAVIORAL HEALTH SYSTEMS INC",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238923",
            "telephone_number": "317-272-3330",
            "fax_number": "317-272-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKISSIAN",
        "first_name": "ARMEN",
        "name_prefix": "Dr.",
        "credential": "EDD, HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20040104A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER PIN",
            "identifier": "000000489063",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100336930A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.