Provider Demographics
NPI:1285687293
Name:DUNN MENTAL HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:DUNN MENTAL HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:765-983-8000
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47375-0487
Mailing Address - Country:US
Mailing Address - Phone:765-983-8000
Mailing Address - Fax:765-983-8609
Practice Address - Street 1:831 DILLON DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-8048
Practice Address - Country:US
Practice Address - Phone:765-983-8000
Practice Address - Fax:765-983-8609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL231320Medicare ID - Type UnspecifiedMEDICARE LCSW RURAL
IN905120Medicare ID - Type UnspecifiedMEDICARE HSPP URBAN
IN231190Medicare ID - Type UnspecifiedMEDICARE MD RURAL
IN954050Medicare ID - Type UnspecifiedMEDICARE MD URBAN
IN905110Medicare ID - Type UnspecifiedMEDICARE LCSW URBAN
IN193820Medicare ID - Type UnspecifiedMEDICARE HSPP RURAL