MOSES MENTAL HEALTH (NPI# 1316446628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316446628 |
| Entity Type | Organization |
| Organization Name | MOSES MENTAL HEALTH |
| Practice Address |
1933 Central Ave Indianapolis IN 46202-1610 |
| Practice Telephone | 7654916515 |
| Practice Fax Number | 3176028951 |
| Mailing Telephone | 7654916515 |
| Mailing Fax Number | 3176028951 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Authorized Official Name | MARLA MOSES (OWNER) |
| Authorized Official Telephone | 7654916515 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 71002822A | IN | Residential Treatment Facilities |
| Street Address |
1933 CENTRAL AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831697598 | Indianapolis Vamc | Psychiatric Residential Treatment Facility | 9045 E 59th St Bldg 402, Indianapolis, IN 46216-1030 | 2018-01-29 |
| 1518382993 | Patrick Mcneill | Psychiatric Residential Treatment Facility | 614 Farley Dr, Indianapolis, IN 46214-3575 | 2014-02-21 |
| 1598194516 | Damar Services Inc. | Psychiatric Residential Treatment Facility | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2013-11-12 |
| 1366747685 | Veronica Bridges | Psychiatric Residential Treatment Facility | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2011-01-18 |
| 1629373048 | Frederick Vandi | Psychiatric Residential Treatment Facility | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2011-01-15 |
| 1225140965 | Lutheran Child and Family Services of Indiana/kentucky, Inc. | Psychiatric Residential Treatment Facility | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1134276884 | Youth Opportunity Center, Inc | Psychiatric Residential Treatment Facility | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2007-01-04 |
| 1982774246 | Gibault, Inc. | Psychiatric Residential Treatment Facility | 6401 S Us Highway 41, Terre Haute, IN 47802-4749 | 2006-11-08 |
| 1801822440 | Hhc Indiana Inc. | Psychiatric Residential Treatment Facility | 1800 N Oak Dr, Plymouth, IN 46563-3406 | 2006-06-24 |
| 1275080400 | Shirley Mclean | Psychiatric Residential Treatment Facility | 1100 W 6th Ave, Gary, IN 46402-1711 | 2016-09-06 |
| 1770970337 | Crossroad Child and Family Services | Psychiatric Residential Treatment Facility | 2525 Lake Ave, Fort Wayne, IN 46805-5407 | 2015-04-22 |
| 1730487901 | Gibault, Inc. | Psychiatric Residential Treatment Facility | 6401 S Us Highway 41, Terre Haute, IN 47802-4749 | 2011-03-11 |
| 1295901007 | Wellstone Regional Hospital LLC | Psychiatric Residential Treatment Facility | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 | 2008-05-01 |
| 1104974989 | Madison Center, Inc. | Psychiatric Residential Treatment Facility | 403 E Madison St, South Bend, IN 46617-2322 | 2007-01-08 |
| 1720163603 | Oaklawn Psychiatric Center, Inc. | Psychiatric Residential Treatment Facility | 330 Lakeview Dr, Goshen, IN 46528-9365 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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| 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.