Provider Demographics
NPI:1881208189
Name:THE ANXIETY CENTER
Entity Type:Organization
Organization Name:THE ANXIETY CENTER
Other - Org Name:INDIANAPOLIS ANXIETY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FITE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:513-319-8062
Mailing Address - Street 1:11085 MONTGOMERY RD STE 250
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2395
Mailing Address - Country:US
Mailing Address - Phone:513-547-2861
Mailing Address - Fax:
Practice Address - Street 1:11085 MONTGOMERY RD STE 250
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-2395
Practice Address - Country:US
Practice Address - Phone:513-547-2861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2022-06-08
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
OH1467905778Medicaid
KS1356856231Medicaid
OH1114378890Medicaid