Provider Demographics
NPI:1982600029
Name:SARKISSIAN, ARMEN (EDD, HSPP)
Entity Type:Individual
Prefix:DR
First Name:ARMEN
Middle Name:
Last Name:SARKISSIAN
Suffix:
Gender:M
Credentials:EDD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 E US HIGHWAY 36
Mailing Address - Street 2:CUMMINS BEHAVIORAL HEALTH SYSTEMS INC
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-8923
Mailing Address - Country:US
Mailing Address - Phone:317-272-3330
Mailing Address - Fax:317-272-3331
Practice Address - Street 1:6655 E US HIGHWAY 36
Practice Address - Street 2:CUMMINS BEHAVIORAL HEALTH SYSTEMS INC
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-8923
Practice Address - Country:US
Practice Address - Phone:317-272-3330
Practice Address - Fax:317-272-3331
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040104A103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000489063OtherANTHEM BCBS PROVIDER PIN
IN100336930AMedicaid
IN000000489063OtherANTHEM BCBS PROVIDER PIN
IN100336930AMedicaid