NEUROLOGY AND PAIN MANAGEMENT (NPI# 1346606449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346606449 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY AND PAIN MANAGEMENT |
| Practice Address |
112 W Jefferson Blvd South Bend IN 46601-1923 |
| Practice Telephone | 5745461900 |
| Mailing Telephone | 5745461900 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| Authorized Official Name | MR. AZUBIKE V NWOKEDI (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3176022195 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 28181574A | IN | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225089469 | Neurology and Pain Management | Internal Medicine | 270 E Day Rd, Suite 280, Mishawaka, IN 46545-3444 | 2006-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NEUROLOGY AND PAIN MANAGEMENT, PLLC | 163 Elm Street, Tenafly, Nj 07670 |
| Street Address |
112 W JEFFERSON BLVD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740296516 | Freda Ann Black | Nurse Practitioner | 112 W Jefferson Blvd, South Bend, IN 46601-1923 | 2006-07-31 |
| 1295278802 | Joseph Hulse Jr. | Nurse Practitioner | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2016-11-30 |
| 1013365378 | James Brown | Nurse Practitioner | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2016-05-27 |
| 1295181154 | James Fenstermacher | Psychologist | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2016-05-10 |
| 1336507094 | Azubike Nwokedi | Nurse Practitioner | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2016-02-09 |
| 1265804488 | Morgan Nicole Edmonds | Registered Nurse | 112 W Jefferson Blvd, Suite 600, South Bend, IN 46601-1923 | 2015-10-27 |
| 1265810584 | Tara Pousson | Nurse Practitioner | 112 W Jefferson Blvd, Suite 600, South Bend, IN 46601-1923 | 2015-05-07 |
| 1710229398 | Kimberly Ann Artman | Registered Nurse | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2013-03-21 |
| 1528201076 | Thomas Leahy | Psychiatry & Neurology | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2009-04-14 |
| 1558522730 | Kashif A Janjua | Internal Medicine | 112 W Jefferson Blvd, Neurology and Pain Management Associates, PC, South Bend, IN 46601-1923 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649345448 | Riverside Hospital Corporation | Psychiatric Hospital | 533 N Niles Ave, South Bend, IN 46617-1919 | 2006-11-21 |
| 1790254415 | Neuropsychiatric Hospitals, LLC | Psychiatric Hospital | 112 W Jefferson Blvd Ste 600, South Bend, IN 46601-1921 | 2018-11-26 |
| 1073565131 | Madison Center, Inc. | Psychiatric Hospital | 403 E Madison St, South Bend, IN 46617-2322 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614825 | Indiana Behavioral Innovations LLC | Psychiatric Hospital | 1051 Southfield Dr, Plainfield, IN 46168 | 2020-09-17 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1215310628 | Selah House, Inc | Psychiatric Hospital | 2541 Northshore Blvd, Anderson, IN 46011-9600 | 2015-07-02 |
| 1811337116 | Haven Behavioral Services of Indianapolis, LLC | Psychiatric Hospital | 6720 Parkdale Pl, Suite 100, Indianapolis, IN 46254-4668 | 2013-07-01 |
| 1477832772 | Sycamore Springs, LLC | Psychiatric Hospital | 833 Park East Blvd, Lafayette, IN 47905-0785 | 2011-08-04 |
| 1457594830 | Brentwood Meadows, LLC | Psychiatric Hospital | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2009-04-14 |
| 1891966065 | Harsha Behavioral Center, Inc | Psychiatric Hospital | 1980 E Woodsmall Dr, Terre Haute, IN 47802-4937 | 2008-03-17 |
| 1699974568 | Selah House, Inc | Psychiatric Hospital | 1180 N. 300 East, Anderson, IN 46012 | 2007-07-12 |
| 1215058151 | Midwest Center for Youth & Families | Psychiatric Hospital | 1012 W Indiana St, Kouts, IN 46347-9703 | 2007-04-02 |
| 1124153911 | Options Treatment Acquisition Corporation | Psychiatric Hospital | 5602 Caito Dr, Indianapolis, IN 46226-1346 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.