Provider Demographics
NPI:1699563866
Name:APPRAISE BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:APPRAISE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANTI
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, MBA, BCBA
Authorized Official - Phone:574-310-4014
Mailing Address - Street 1:537 E INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46613-2634
Mailing Address - Country:US
Mailing Address - Phone:574-310-4014
Mailing Address - Fax:
Practice Address - Street 1:537 E INDIANA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46613-2634
Practice Address - Country:US
Practice Address - Phone:574-310-4014
Practice Address - Fax:574-807-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health