SIMPLY DIVINE (NPI# 1194172593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194172593 |
| Entity Type | Organization |
| Organization Name | SIMPLY DIVINE |
| Practice Address |
141 N Shortridge Rd Indianapolis IN 46219-8906 |
| Practice Telephone | 3172631675 |
| Mailing Telephone | 3172631675 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | MR. MICHAEL JAMES (CEO) |
| Authorized Official Telephone | 3172631675 |
| Authorized Official Credential | LCAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8700133A | IN | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SIMPLY DIVINE | 888 W 6th St Fl 12, Los Angeles, CA 90017-2703 |
| Oregon Corporations, Companies and Business Names | SIMPLY DIVINE BIKINI EXPRESSO LLC | 5299 Ne Candlewood Pl, Hillsboro, OR 97124 |
| Virginia Business Entities | Simply Divine by Pam L.L.C. | 3 Admiral Court, Portsmouth, Virginia 23703 |
| Vermont Business Registrations | SIMPLY DIVINE CAFE LLC | 32 Messenger St/pob 1133, St Albans, VT 05478 |
| New York State Corporations | SIMPLY DIVINE CAFE, LLC | 471 E 56 Street, Brooklyn, Ny 11203 |
| New York State Corporations | SIMPLY DIVINE CAKE DECORATING AND CANDY SUPPLIES, LLC | 39 Ivory Way, Henrietta, Ny 14467 |
| Virginia Business Entities | Simply Divine Cakes & Culinary Creations LLC | 120 East City Point Rd, Hopewell, Virginia 23860 |
| Oregon Corporations, Companies and Business Names | SIMPLY DIVINE CATERING | 511 Nw 15th Street, Corvallis, OR 97330 |
| Colorado Business Entities | simply divine catering llc | 380 Ridge Circle Drive, Grand Junction, CO 81507 |
| New York State Corporations | SIMPLY DIVINE CHOCOLATES, LLC | 1415 Linden Blvd 5e, Brooklyn, New York 11212 |
| Street Address |
141 N SHORTRIDGE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-8906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518988203 | Larry Wayne Smith | Counselor | 141 N Shortridge Rd, Indianapolis, IN 46219-8906 | 2006-07-21 |
| 1245743327 | Kb Dental Group IIi, LLC | Dentist | 141 N Shortridge Rd, Indianapolis, IN 46219-8906 | 2017-11-10 |
| 1396194304 | Nelia Davis | Counselor | 141 N Shortridge Rd, Indianapolis, IN 46219-8906 | 2016-06-09 |
| 1417305459 | Leonardo Richardson | Counselor | 141 N Shortridge Rd, Indianapolis, IN 46219-8906 | 2016-06-01 |
| 1558719674 | Doyle Brooks | Counselor | 141 N Shortridge Rd, Indianapolis, IN 46219-8906 | 2016-05-31 |
| 1740638824 | Kimberly Beckwith | Counselor | 141 N Shortridge Rd, Indianapolis, IN 46219-8906 | 2016-05-30 |
| 1295183374 | Ryan Kilbride | Counselor | 141 N Shortridge Rd, Indianapolis, IN 46219-8906 | 2016-05-30 |
| 1932595667 | Dental Health Associates, Inc. | Dentist | 141 N Shortridge Rd, B5, Indianapolis, IN 46219-8906 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1285128850 | Abigail Cole | Psychologist | 6314 Rucker Rd Ste A, Indianapolis, IN 46220-4800 | 2018-06-18 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1720515893 | Josie Gronbach | Psychologist | 50 E 91st St Ste 316, Indianapolis, IN 46240-1556 | 2017-05-18 |
| 1821469891 | Emma Carter | Psychologist | 603 E Washington St Fl 9, Indianapolis, IN 46204 | 2015-10-15 |
| 1316385081 | Megan A Orr | Psychologist | 2001 W 86th St Fl 7, Indianapolis, IN 46260-1902 | 2013-06-04 |
| 1255775490 | Psychservices Indiana LLC | Psychologist | 5924 1/2 Hillside Avenue East Dr, Indianapolis, IN 46220-2414 | 2013-04-18 |
| 1740557206 | Michael Eric O'brien | Psychologist | 5336 Elmwood Ave, Indianapolis, IN 46203-6023 | 2011-11-28 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on SIMPLY DIVINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.