DESMOND MATHEWS (NPI# 1740829969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740829969 |
| Entity Type | Individual |
| Full Name | DESMOND MATHEWS |
| Practice Address |
2171 N Avondale Pl Indianapolis IN 46218-3867 |
| Practice Telephone | 3175418748 |
| Practice Fax Number | 3175418145 |
| Mailing Telephone | 3175418748 |
| Mailing Fax Number | 3175418145 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2171 N AVONDALE PL |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46218-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153896 | Josh Tidwell | Technician | 2171 N Avondale Pl, Indianapolis, IN 46218-3867 | 2020-01-09 |
| 1144869355 | Latasha A Hudson | Counselor | 2171 N Avondale Pl, Indianapolis, IN 46218-3867 | 2020-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1912221615 | Melvin Lowell Stringer Jr. | Driver | 3266 N. Arsenal Ave, Indianapolis, IN 46218 | 2010-03-24 |
| 1952523854 | Allyson Leigh Mcintire | Counselor | 5502 E 16 Th Street, Indpls, IN 46218 | 2007-05-02 |
| 1104912963 | Andrea Sue Campbell | Social Worker | 5502 E 16th Street, Indpls, IN 46218 | 2006-10-05 |
| 1720186356 | Abbie Ann Grudzien | Counselor | 4701 N Keystone, Ste 150, Indpls, IN 46218 | 2006-09-20 |
| 1508978784 | Linda A Fundenberger | Ophthalmology | 2815 E 38th Street, Indianapolis, IN 46218 | 2006-08-31 |
| 1063467850 | Aaron P Kalinowski | Emergency Medicine | 2920 N Arlington Ave Ste B, Indianapolis, IN 46218 | 2006-05-23 |
| Find all providers in zip 46218 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153914 | Beverli D Mason | Counselor | 10231 Chris Dr, Indianapolis, IN 46229-1875 | 2020-10-26 |
| 1376150656 | Shelia Hall | Counselor | 7422 Carnation Ln, Indianapolis, IN 46214-1066 | 2020-09-30 |
| 1205443090 | Laura Oliver | Counselor | 2274 Valley Creek Way, Indianapolis, IN 46229-1932 | 2020-09-26 |
| 1932714185 | Thrive Counseling Services, LLC | Counselor | 3750 Kentucky Avenue, Indianapolis, IN 46221-2700 | 2020-09-14 |
| 1033735055 | Luv Taylor | Counselor | 4117 Village Trace Blvd, Indianapolis, IN 46254-6222 | 2020-06-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| 1326661836 | Bridge Clinics | Counselor | 3702 E 10th St, Indianapolis, IN 46201-2554 | 2020-05-19 |
| 1457973380 | Anita J Adams | Counselor | 5218 Cornelius Ave, Indianapolis, IN 46208-2512 | 2020-05-14 |
| 1821610213 | Tiffany Lynette Thompson | Counselor | 4308 Ansar Ln, Indianapolis, IN 46254-3128 | 2020-05-08 |
| 1114549615 | Courtney Terrell | Counselor | 1118 N Audubon Rd, Indianapolis, IN 46219-3116 | 2020-05-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
Please comment or provide details below to improve the information on DESMOND MATHEWS.
| 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.