Provider Demographics
NPI:1578941191
Name:NEUROPSYCHIATRIC HOSPITAL OF INDIANAPOLIS, LLC
Entity Type:Organization
Organization Name:NEUROPSYCHIATRIC HOSPITAL OF INDIANAPOLIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-277-2630
Mailing Address - Street 1:112 W JEFFERSON BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46601-1923
Mailing Address - Country:US
Mailing Address - Phone:317-744-9200
Mailing Address - Fax:
Practice Address - Street 1:6720 PARKDALE PL
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-4668
Practice Address - Country:US
Practice Address - Phone:574-485-1703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital