CATHOLIC CHARITIES, DIOCESE OF GARY INC (NPI# 1538298401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538298401 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES, DIOCESE OF GARY INC |
| Practice Address |
2642 Eleanor St Portage IN 46368-3634 |
| Mailing Address |
940 Broadway Gary IN 46402-2906 |
| Practice Telephone | 2197621177 |
| Practice Fax Number | 2197621827 |
| Mailing Telephone | 2198863549 |
| Mailing Fax Number | 2198862428 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-10-30 |
| Authorized Official Name | MR. DUANE D DEDELOW (DIOCESAN DIRECTOR) |
| Authorized Official Telephone | 2198863549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5603009850243 | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200085310 | 05 |
| Street Address |
2642 ELEANOR ST |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387691 | Chad Robert Westmaas | Counselor | 6100 Newport Rd Ste 2222, Portage, MI 49002-9235 | 2018-05-29 |
| 1154871390 | Dawn Anderson-mueller | Counselor | 322 Dewit St, Portage, WI 53901-2114 | 2016-10-12 |
| 1255768859 | Rebecca Wilson | Counselor | 7649 Woodcrest St, Portage, MI 49024-5059 | 2013-09-27 |
| 1245534478 | Tonya Lynn Swinger | Counselor | 742 Popish Road, Portage, PA 15946-7900 | 2011-01-03 |
| 1992022503 | Paul Maxwell Brinkley | Counselor | 1398 Palmetto Dr., Portage, MI 49002 | 2010-04-23 |
| 1023343738 | Pamela Regina Robinson | Counselor | 1151 W Milham Ave, Portage, MI 49024-1203 | 2009-10-14 |
| 1942396205 | Lindsay Page South | Counselor | 1591 W Centre St, Suite 103, Portage, MI 49024 | 2006-10-05 |
| 1306452248 | Misty Hatch | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-09-16 |
| 1891307880 | Sydney M Martin | Counselor | 6130 Lovers Ln, Portage, MI 49002-3026 | 2020-08-20 |
| 1437761624 | Marta Kirsten Rynearson | Counselor | 6130 Lovers Ln, Portage, MI 49002-3026 | 2020-08-19 |
| Find all providers in PORTAGE | ||||
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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.