Organization Active NPI

Wellpath Community Care Centers of Indiana PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1992469365
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WELLPATH COMMUNITY CARE CENTERS OF INDIANA PC
Practice address
5071 E 10TH St
Indianapolis, IN 46201-2863
Phone
(615) 258-8631
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Dr. Steven Descoteaux, MD
Title
PC Owner
Phone
(508) 246-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5071 E 10TH St
Indianapolis, IN 46201-2863

Mailing address

1283 Murfreesboro Pike Ste 500
Nashville, TN 37217-2421
Phone (615) 258-8631

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1992469365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 MURFREESBORO PIKE STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172421",
            "telephone_number": "615-258-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012863",
            "telephone_number": "615-258-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPATH COMMUNITY CARE CENTERS OF INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "DESCOTEAUX",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PC OWNER",
        "authorized_official_telephone_number": "508-246-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "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 Jan 28, 2022; 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.