Provider Demographics
NPI:1851369136
Name:VANTAGE POINT, INC.
Entity Type:Organization
Organization Name:VANTAGE POINT, INC.
Other - Org Name:SOUTHPOINT PSYCHOLOGICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:812-355-5890
Mailing Address - Street 1:PO BOX 396
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47402-0396
Mailing Address - Country:US
Mailing Address - Phone:812-355-5890
Mailing Address - Fax:812-355-5895
Practice Address - Street 1:645 S ROGERS ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-2353
Practice Address - Country:US
Practice Address - Phone:812-355-5890
Practice Address - Fax:812-355-5895
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH CENTRAL COMMUNITY MENTAL HEALTH CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-10
Last Update Date:2008-02-26
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
227860Medicare ID - Type Unspecified