Provider Demographics
NPI:1801847488
Name:CUMMINS BEHAVIORAL HEALTH SYSTEMS, INC.
Entity Type:Organization
Organization Name:CUMMINS BEHAVIORAL HEALTH SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COUNTY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:UNGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:1812-242-2244
Mailing Address - Street 1:7598 S COUNTY ROAD 400 W
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:IN
Mailing Address - Zip Code:47838-8287
Mailing Address - Country:US
Mailing Address - Phone:812-398-4728
Mailing Address - Fax:
Practice Address - Street 1:4600 S SPRINGHILL JCT
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4584
Practice Address - Country:US
Practice Address - Phone:812-242-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003664A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN344840GGGMedicare ID - Type Unspecified