INDIANA UNIVERSITY HEALTH CENTER (NPI# 1609134014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609134014 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH CENTER |
| Practice Address |
600 N Jordan Ave 3rd Floor Bloomington IN 47405-3190 |
| Practice Telephone | 8128557338 |
| Mailing Telephone | 8128557338 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | MISS TEMITOPE EKIRAN (TOBACCO CESSATION ADVISOR) |
| Authorized Official Telephone | 8128557338 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760732945 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2012-09-14 |
| 1437407491 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2012-08-23 |
| 1114274156 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2012-08-09 |
| 1568743623 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2011-09-02 |
| 1558518852 | Indiana University Health Center | Clinical Medical Laboratory | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2008-08-19 |
| 1992970719 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2008-04-23 |
| 1619079191 | Indiana University Health Center | Pharmacy | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2006-09-04 |
| Street Address |
600 N JORDAN AVE 3RD FLOOR |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47405-3190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182898 | William T Havens | Physician Assistant | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2005-08-25 |
| 1306470547 | Felicia Cianchetti | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2020-02-26 |
| 1538707823 | Fatima Zaidi | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2019-12-17 |
| 1942845078 | Daisy Day Anspach | Social Worker | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2019-11-13 |
| 1417443359 | Denise Hayes | Psychologist | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2018-07-03 |
| 1891212767 | George Brandon Muncy | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-08-23 |
| 1871013045 | Molly Elaine Mckelfresh | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-06-20 |
| 1487193512 | David Boncek | Physical Therapist | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-02-22 |
| 1336539345 | Michelle Dodson | Dietitian, Registered | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2015-01-28 |
| 1093105124 | Kelly Lazzell | Dietitian, Registered | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2015-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245786896 | Jennifer Whitley | Speech-Language Pathologist | 200 S. Jordan Avenue, Bloomington, IN 47405 | 2016-09-01 |
| 1801342621 | William Daniels Jr. | Health Educator | 600 N. Jordan Ave., Bloomington, IN 47405 | 2016-08-31 |
| 1588053664 | Sara Anne Boyer | Preventive Medicine | 1025 E. 7th Street, Rm C200, School of Public Health, Indiana University, Bloomington, IN 47405 | 2015-01-13 |
| 1437438181 | Walter Lawrence Campbell | Counselor | 600 N. Jordan Ave, Bloomington, IN 47405 | 2011-08-12 |
| 1568580314 | Linda Jean Noble | Physical Therapist | Indiana University Health Center, 600 North Jordan Ave., Bloomington, IN 47405 | 2007-03-27 |
| 1811482854 | Alexandria Lui | Optometrist | 744 E 3rd St, Bloomington, IN 47405 | 2018-06-22 |
| 1295234763 | Joshua Allan Stommes | Optometrist | 800 E Atwater Ave, Bloomington, IN 47405 | 2018-02-09 |
| 1366432528 | Rebecca D. Eberle | Speech-Language Pathologist | 200 S Jordan Ave, Department of Speech and Hearing Sciences, Bloomington, IN 47405 | 2005-10-27 |
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1245352855 | Kimberly Wagner | Psychologist | 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 | 2007-04-04 |
| Find all providers in zip 47405 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312043 | Jen Guidebeck, LLC | Community/Behavioral Health | 200 W Monroe St # 302c, Bloomington, IL 61701-3997 | 2019-08-20 |
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1578058913 | Ubuntu Care Services LLC | Community/Behavioral Health | 7800 Metro Pkwy Ste 71, Bloomington, MN 55425-1514 | 2018-06-28 |
| 1992242218 | The Growing Place, Inc | Community/Behavioral Health | 4326 E Beacon Ct, Bloomington, IN 47408-3001 | 2017-01-24 |
| 1245786698 | Tonya L. Bassett Counseling, Inc | Community/Behavioral Health | 200 W Monroe St Ste 25, Suite 302-a, Bloomington, IL 61701-3922 | 2016-08-26 |
| 1881046258 | Healing Waters Recovery Counseling | Community/Behavioral Health | 6954 W 84th St, Bloomington, MN 55438-1159 | 2016-07-08 |
| 1841652443 | Lyndsey Johnsen, Lcsw | Community/Behavioral Health | 901 E Grove St Ste O, Bloomington, IL 61701-8539 | 2016-03-22 |
| 1225418908 | Under The Umbrella, LLC | Community/Behavioral Health | 1136 W 17th St Ste B, Bloomington, IN 47404-3000 | 2015-06-08 |
| 1295128841 | Dawn Zywiec Professional Counseling, LLC | Community/Behavioral Health | 2310 E Oakland Ave, Suite 4, Bloomington, IL 61701-5865 | 2015-03-06 |
| 1316364607 | Innerguidance Counseling LLC | Community/Behavioral Health | 9501 Dakota Rd, Bloomington, MN 55438-1710 | 2014-03-25 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47405 |
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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.