MID-AMERICA MENTAL HEALTH LLC (NPI# 1710435094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710435094 |
| Entity Type | Organization |
| Organization Name | MID-AMERICA MENTAL HEALTH LLC |
| Practice Address |
402 Wall St. Ste 23 Valparaiso IN 46383-2567 |
| Mailing Address |
9335 Calumet Ave. Ste D Munster IN 46321-4176 |
| Practice Telephone | 2196153136 |
| Practice Fax Number | 2196153147 |
| Mailing Telephone | 2198369200 |
| Mailing Fax Number | 2198364200 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | SIDARTH SINGH (OWNER) |
| Authorized Official Telephone | 2198369200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
402 WALL ST. STE 23 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853428 | New Hope Christian Counseling | Psychologist | 402 S. State Road In-49, Valparaiso, IN 46383 | 2017-10-30 |
| 1306361415 | Jeanne Ann Brown | Psychologist | 2758 Sunswept Ct, Valparaiso, IN 46383-7603 | 2017-08-09 |
| 1932338811 | Karl Nelson | Psychologist | 601 Indiana Ave, Valparaiso, IN 46383-5719 | 2009-07-13 |
| 1821249079 | Gary M. Durak, Ph.d., P.C. | Psychologist | 307 Jefferson St, Valparaiso, IN 46383-4823 | 2008-10-07 |
| 1851548424 | Mary Ellen Spaite | Psychologist | 380 Tratebas Rd, Valparaiso, IN 46383-9752 | 2008-08-26 |
| 1558550491 | Lynette Schultz | Psychologist | 450 Vale Park Rd Ste K, Valparaiso, IN 46385-2503 | 2007-10-16 |
| 1184818262 | Julia Lynn Kocal | Psychologist | 225 Wexford Rd, Valparaiso, IN 46385-8040 | 2007-08-31 |
| 1073735312 | John W. Harris | Psychologist | 204 Lincolnway, Valparaiso, IN 46383-5644 | 2007-05-03 |
| 1821184110 | Clinical Psychology Center, P.C. | Psychologist | 15 N Franklin St, Suite 230, Valparaiso, IN 46383 | 2006-10-05 |
| 1174537476 | Mark Edwin Noll | Psychologist | 158 Napoleon St, Suite 104, Valparaiso, IN 46383-5529 | 2006-07-29 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on MID-AMERICA MENTAL HEALTH LLC.
| 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.