INDIANAPOLIS VAMC


Address: 9045 E 59th St Bldg 402, Indianapolis, IN 46216-1030
Phone: 6088217200

INDIANAPOLIS VAMC (NPI# 1831697598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831697598
Entity Type Organization
Organization Name INDIANAPOLIS VAMC
Other Organization Name INDIANAPOLIS 1 VA CARE SITE
Practice Address 9045 E 59th St Bldg 402
Indianapolis
IN 46216-1030
Mailing Address Po Box 5303
Madison
WI 53705-0303
Practice Telephone 6088217200
Mailing Telephone 6088217200
Enumeration Date 2018-01-29
Last Update Date 2018-01-29
Authorized Official Name ERIN DENISE POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
INDIANAPOLIS 1 VA CARE SITE Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063042869 Indianapolis Vamc Clinic/Center 300 Highway 361 Ste 2516, Crane, IN 47522-4000 2020-01-21
1164992897 Indianapolis Vamc Clinic/Center 5315 Lafayette Rd, Indianapolis, IN 46254-1618 2018-11-26
1790173078 Indianapolis Vamc Clinic/Center 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 2015-01-08
1154719045 Indianapolis Vamc Clinic/Center 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 2014-12-31
1982092870 Indianapolis Vamc Clinic/Center 4612 South Springhill Junction, Terre Haute, IN 47802-9998 2014-12-31
1326087271 Indianapolis Vamc Clinic/Center 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 2006-06-06
1831140417 Indianapolis Vamc Clinic/Center 2100 S Liberty Dr, Bloomington, IN 47403-5147 2006-05-16
1982662789 Indianapolis Vamc Department of Veterans Affairs (VA) Pharmacy 1481 West 10th Street, Indianapolis, IN 46202 2006-05-02
1235625088 Indianapolis Vamc Clinic/Center 30 W Rampart St, Shelbyville, IN 46176-8846 2018-07-05
1730682352 Indianapolis Vamc Clinic/Center 2669 Cold Spring Rd, Indianapolis, IN 46222-6211 2018-03-09

Office Location

Street Address 9045 E 59TH ST BLDG 402
City INDIANAPOLIS
State IN
Zip Code 46216-1030

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801435292 Wickshire Fort Harrison Opco LLC Assisted Living Facility 8025 Doubleday Drive, Indianapolis, IN 46216 2020-01-02
1851875546 Andrew David Power Dentist 5869 Lawton Loop East Drive, Indianapolis, IN 46216 2018-09-19
1366938417 Alidde Alouidor Social Worker 9801 E 59th St, Indianapolis, IN 46216 2018-07-02
1548779663 Fresenius Medical Care Indiana, LLC Clinic/Center 9140 Harrison Park Ct, Indianapolis, IN 46216 2017-09-20
1184835852 Toby A Zirkle Family Medicine 8205 E 56th St Ste 100, Indianapolis, IN 46216 2007-05-24
1922178995 Physiotherapy Associates Physical Therapist 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 2006-11-08
1871562645 Richard Clark Perry Internal Medicine 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 2006-03-15
1902420532 Carole Christine Corder Dietitian, Registered 8205 E 56th St, Suite 100, Indianapolis, IN 46216 2020-05-29
1821301300 Robin Girdhar Internal Medicine 8205 E 56th St, Ste 100, Indianapolis, IN 46216 2010-07-26
1306949086 Hook Superx LLC Durable Medical Equipment & Medical Supplies 5605 N Post Rd, Indianapolis, IN 46216-1002 2006-09-07
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518382993 Patrick Mcneill Psychiatric Residential Treatment Facility 614 Farley Dr, Indianapolis, IN 46214-3575 2014-02-21
1598194516 Damar Services Inc. Psychiatric Residential Treatment Facility 6067 Decatur Blvd, Indianapolis, IN 46241-9606 2013-11-12
1366747685 Veronica Bridges Psychiatric Residential Treatment Facility 1525 N Ritter Ave, Indianapolis, IN 46219-3026 2011-01-18
1629373048 Frederick Vandi Psychiatric Residential Treatment Facility 1525 N Ritter Ave, Indianapolis, IN 46219-3026 2011-01-15
1225140965 Lutheran Child and Family Services of Indiana/kentucky, Inc. Psychiatric Residential Treatment Facility 1525 N Ritter Ave, Indianapolis, IN 46219-3026 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063561272 Associates In Clinical Psychology PC Psychiatric Residential Treatment Facility 317 West Monroe St, Plymouth, IN 46563 2007-01-09
1134276884 Youth Opportunity Center, Inc Psychiatric Residential Treatment Facility 3700 W Kilgore Ave, Muncie, IN 47304-4810 2007-01-04
1982774246 Gibault, Inc. Psychiatric Residential Treatment Facility 6401 S Us Highway 41, Terre Haute, IN 47802-4749 2006-11-08
1801822440 Hhc Indiana Inc. Psychiatric Residential Treatment Facility 1800 N Oak Dr, Plymouth, IN 46563-3406 2006-06-24
1275080400 Shirley Mclean Psychiatric Residential Treatment Facility 1100 W 6th Ave, Gary, IN 46402-1711 2016-09-06
1770970337 Crossroad Child and Family Services Psychiatric Residential Treatment Facility 2525 Lake Ave, Fort Wayne, IN 46805-5407 2015-04-22
1730487901 Gibault, Inc. Psychiatric Residential Treatment Facility 6401 S Us Highway 41, Terre Haute, IN 47802-4749 2011-03-11
1295901007 Wellstone Regional Hospital LLC Psychiatric Residential Treatment Facility 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 2008-05-01
1104974989 Madison Center, Inc. Psychiatric Residential Treatment Facility 403 E Madison St, South Bend, IN 46617-2322 2007-01-08
1720163603 Oaklawn Psychiatric Center, Inc. Psychiatric Residential Treatment Facility 330 Lakeview Dr, Goshen, IN 46528-9365 2006-10-26
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Competitor

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City INDIANAPOLIS
Zip Code 46216

Improve Information

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Dataset Information

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.

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