INDIANA CLINIC (NPI# 1730492018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730492018 |
| Entity Type | Organization |
| Organization Name | INDIANA CLINIC |
| Practice Address |
1701 N Senate Blvd Indianapolis IN 46202-1239 |
| Practice Telephone | 3179622622 |
| Practice Fax Number | 3179638252 |
| Mailing Telephone | 3179622622 |
| Mailing Fax Number | 3179638252 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | JANE ANN OLISE-AIKINS (ASSESSMENT SPECIALIST) |
| Authorized Official Telephone | 3179622622 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 2000119790 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285946442 | Indiana Clinic | General Acute Care Hospital | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2010-07-05 |
| 1851612774 | Indiana Clinic | General Acute Care Hospital | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2010-06-15 |
| Street Address |
1701 N SENATE BLVD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501235 | Lara Jane Pesavento | Anesthesiology | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2005-10-12 |
| 1508475526 | Wade Everett Oliver | Nurse Practitioner | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-07-27 |
| 1538778600 | Marleana Leann Groh | Nurse Practitioner | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-07-24 |
| 1982225447 | Saily Jacqueline Guerra | Dietitian, Registered | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-05-06 |
| 1013538826 | Paige Randolph | Nurse Practitioner | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-05-04 |
| 1780213926 | John Peacock | Student in an Organized Health Care Education/Training Program | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-04-08 |
| 1295354462 | Kylie J Miller | Student in an Organized Health Care Education/Training Program | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-04-08 |
| 1962031492 | Kristina Lynn Mathey | Counselor | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-04-06 |
| 1023647674 | Lindsay Nicole Troyer | Student in an Organized Health Care Education/Training Program | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-04-06 |
| 1548894686 | Courtney Leanne Kroes | Social Worker | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-02-27 |
| Find all providers in the same location | ||||
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811059595 | The Health and Hospital Corporation of Marion County | Psychiatric Unit | 720 Eskenazi Ave, Indianapolis, IN 46202-5166 | 2006-12-15 |
| 1164451613 | Indiana University Health Inc | Psychiatric Unit | 1701 N Senate, Indianapolis, IN 46202-5306 | 2006-06-30 |
| 1679545966 | Community Health Network, Inc. | Psychiatric Unit | 7165 Clearvista Way, Suite D2, Indianapolis, IN 46256-4621 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376841395 | Memorial Hospital of South Bend | Psychiatric Unit | 420 N Niles Ave, South Bend, IN 46617-1918 | 2011-03-01 |
| 1760521140 | Otis R. Bowen Center | Psychiatric Unit | 1535 Provident Dr., Warsaw, IN 46580 | 2007-02-05 |
| 1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
| 1104998624 | Columbus Regional Hospital | Psychiatric Unit | 2400 East 17th St, Columbus, IN 47201-5351 | 2006-11-14 |
| 1821517533 | Indiana University Health Jay, Inc. | Psychiatric Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-13 |
| 1922463454 | La Porte Hospital Company LLC | Psychiatric Unit | 1007 Lincolnway, La Porte, IN 46350-3201 | 2015-12-29 |
| 1396015251 | The Methodist Hospitals, Inc | Psychiatric Unit | 600 Grant St, Gary, IN 46402-6001 | 2012-01-10 |
| 1760751069 | Nicki Williamson, Msw, Lcsw, LLC | Psychiatric Unit | 101 W Kirkwood Ave, Suite 121, Bloomington, IN 47404-6129 | 2011-12-16 |
| 1972788784 | James R Davis Md LLC | Psychiatric Unit | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 | 2007-12-31 |
| 1548467350 | Indiana University Health Morgan Hospital Inc | Psychiatric Unit | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2007-06-27 |
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| 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.