Provider Demographics
NPI:1669679296
Name:CONSOLIDATED BEHAVIORAL HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:CONSOLIDATED BEHAVIORAL HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SATISH
Authorized Official - Middle Name:R
Authorized Official - Last Name:KULKARNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-476-6907
Mailing Address - Street 1:PO BOX 2469
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47728-0469
Mailing Address - Country:US
Mailing Address - Phone:812-476-6907
Mailing Address - Fax:812-476-6992
Practice Address - Street 1:5401 VOGEL RD
Practice Address - Street 2:SUITE 930
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-7832
Practice Address - Country:US
Practice Address - Phone:812-476-6907
Practice Address - Fax:812-476-6992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN221460Medicare ID - Type Unspecified