| Adult And Child Mental Health Center Inc | |
|
8320 Madison Avenue Indianapolis IN 46227-6066 | |
| (317) 882-5122 | |
| (317) 888-8642 |
| Full Name | Adult And Child Mental Health Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8320 Madison Avenue, Indianapolis, Indiana |
| Authorized Official Name and Position | Andrea Cruser (CFO) |
| Authorized Official Contact | 3178825122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult And Child Mental Health Center Inc 8320 Madison Avenue Indianapolis IN 46227-6066 Ph: (317) 882-5122 | Adult And Child Mental Health Center Inc 8320 Madison Avenue Indianapolis IN 46227-6066 Ph: (317) 882-5122 |
| NPI Number | 1154368512 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Medicare PECOS PAC ID | 3678567898 |
|---|---|
| Medicare Enrollment ID | O20050119000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154368512 | NPI | - | NPPES |
| 100367690 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Indiana) | Secondary |
| 251S00000X | Community/behavioral Health | (Indiana) | Primary |
| Provider Name | Robert A Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871540864 PECOS PAC ID: 7810961299 Enrollment ID: I20040823000166 |
| Provider Name | Joanna E Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043267032 PECOS PAC ID: 1951377639 Enrollment ID: I20040903000324 |
| Provider Name | Chris Stephen Diederich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821016700 PECOS PAC ID: 5395760961 Enrollment ID: I20051012000827 |
| Provider Name | Jessica A Stembel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659439628 PECOS PAC ID: 7012919814 Enrollment ID: I20070207000521 |
| Provider Name | Charles W Coats |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982648630 PECOS PAC ID: 6103929641 Enrollment ID: I20070321000301 |
| Provider Name | Tina M Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750570156 PECOS PAC ID: 0446349005 Enrollment ID: I20071204000638 |
| Provider Name | Bartley Cambridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023215142 PECOS PAC ID: 1355431032 Enrollment ID: I20071218000523 |
| Provider Name | Joe Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154508075 PECOS PAC ID: 7113098765 Enrollment ID: I20080625000389 |
| Provider Name | Dionne S Dynlacht |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972547693 PECOS PAC ID: 5092857383 Enrollment ID: I20100125000741 |
| Provider Name | Arman H Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447484167 PECOS PAC ID: 5698953016 Enrollment ID: I20110706000417 |
| Provider Name | Denise S Hollman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326354887 PECOS PAC ID: 3870762560 Enrollment ID: I20110815000552 |
| Provider Name | Karen F Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336263979 PECOS PAC ID: 3678749900 Enrollment ID: I20120109000007 |
| Provider Name | Christina Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891068797 PECOS PAC ID: 9739340928 Enrollment ID: I20120416000345 |
| Provider Name | Kelly Nicole Hutchins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245464932 PECOS PAC ID: 1355586520 Enrollment ID: I20130320000046 |
| Provider Name | Christy E Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609116771 PECOS PAC ID: 9032353552 Enrollment ID: I20130923000470 |
| Provider Name | Anna L Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124440904 PECOS PAC ID: 4880810456 Enrollment ID: I20140717001558 |
| Provider Name | Shavon C Donald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164837068 PECOS PAC ID: 9032336508 Enrollment ID: I20140806001300 |
| Provider Name | Yolanda Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457765083 PECOS PAC ID: 3072730068 Enrollment ID: I20140815000270 |
| Provider Name | Stacie L Flood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316298425 PECOS PAC ID: 2668693896 Enrollment ID: I20141031001026 |
| Provider Name | Aja S Bridgewater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457769986 PECOS PAC ID: 7315169562 Enrollment ID: I20141104000942 |
| Provider Name | Aby L Wischmeier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043571219 PECOS PAC ID: 6507001062 Enrollment ID: I20141121002165 |
| Provider Name | Christopher Scruton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316973209 PECOS PAC ID: 4284950296 Enrollment ID: I20150311000707 |
| Provider Name | Evette Blackman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548658594 PECOS PAC ID: 7214253129 Enrollment ID: I20150311000893 |
| Provider Name | Olga Goloschokin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043601610 PECOS PAC ID: 2163741174 Enrollment ID: I20150424000631 |
| Provider Name | Sarah Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245604867 PECOS PAC ID: 3577864693 Enrollment ID: I20151215001370 |
| Provider Name | Rachael E Drye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447669213 PECOS PAC ID: 7810284833 Enrollment ID: I20160919002789 |
| Provider Name | Brooke Hartwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356896419 PECOS PAC ID: 4789971276 Enrollment ID: I20160927002667 |
| Provider Name | Brittaney D Kozlovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801347208 PECOS PAC ID: 9638459191 Enrollment ID: I20161130000050 |
| Provider Name | Christine Negendank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376697656 PECOS PAC ID: 9537260815 Enrollment ID: I20170614000886 |
| Provider Name | Jessica L Cielo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902334659 PECOS PAC ID: 1951672989 Enrollment ID: I20170809000841 |
| Provider Name | Jennifer D White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750821401 PECOS PAC ID: 3577839927 Enrollment ID: I20171030002400 |
| Provider Name | Tiffanie Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841595931 PECOS PAC ID: 2860752003 Enrollment ID: I20180207001460 |
| Provider Name | Bethany L Crismore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366929580 PECOS PAC ID: 3476801101 Enrollment ID: I20180813000220 |
| Provider Name | Krista Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831677517 PECOS PAC ID: 9830440981 Enrollment ID: I20180928001003 |
| Provider Name | Ellen R Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376019588 PECOS PAC ID: 2668726712 Enrollment ID: I20181108002135 |
| Provider Name | Hope M Lowhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871076794 PECOS PAC ID: 9830433911 Enrollment ID: I20181129003021 |
| Provider Name | Nicolette Lynna Baer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619445293 PECOS PAC ID: 7214272954 Enrollment ID: I20181227000888 |
| Provider Name | Patrick E Elzey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346895679 PECOS PAC ID: 0446588891 Enrollment ID: I20190822001463 |
| Provider Name | Hannah Fredricksen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649820861 PECOS PAC ID: 3678905247 Enrollment ID: I20191120000695 |
| Provider Name | Hana Gilliom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639545783 PECOS PAC ID: 8426480096 Enrollment ID: I20191120000920 |
| Provider Name | Michelle Wicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073150868 PECOS PAC ID: 8325473903 Enrollment ID: I20200109001239 |
| Provider Name | Laura Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487909735 PECOS PAC ID: 6507296498 Enrollment ID: I20200416001473 |
| Provider Name | Jennifer Lynn Gehrke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609488246 PECOS PAC ID: 1658797899 Enrollment ID: I20200818002623 |
| Provider Name | Emily Mental Arvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598355653 PECOS PAC ID: 9234543448 Enrollment ID: I20210129001603 |
| Provider Name | Kristine Gale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538774039 PECOS PAC ID: 8921416553 Enrollment ID: I20210421000759 |
| Provider Name | Arielle Zerger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265018220 PECOS PAC ID: 5193129633 Enrollment ID: I20210805003201 |
| Provider Name | Rebecca Steigerwalt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760957682 PECOS PAC ID: 1951794775 Enrollment ID: I20220131001027 |
| Provider Name | Chad Dressler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285007294 PECOS PAC ID: 9335534056 Enrollment ID: I20220316001632 |
| Provider Name | Jennifer Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720726896 PECOS PAC ID: 2466830344 Enrollment ID: I20220606000738 |
| Provider Name | Caitlen Brandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790433274 PECOS PAC ID: 3971984154 Enrollment ID: I20220719002832 |
| Provider Name | Morgan Rochelle Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750881819 PECOS PAC ID: 2264815943 Enrollment ID: I20220812000635 |
| Provider Name | Natalie Haidle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821635517 PECOS PAC ID: 0345608709 Enrollment ID: I20230616003188 |
| Provider Name | Samantha Louise Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528595394 PECOS PAC ID: 5597033019 Enrollment ID: I20230809002992 |
| Provider Name | Taylor Sant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518640572 PECOS PAC ID: 3274996111 Enrollment ID: I20230825000928 |
| Provider Name | Benjamin James Newell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760189518 PECOS PAC ID: 9335503556 Enrollment ID: I20230906003557 |
| Provider Name | Natalie Marie Dragan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295134922 PECOS PAC ID: 8527416031 Enrollment ID: I20231122000349 |
| Provider Name | Elaheh Honarmand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043551377 PECOS PAC ID: 6608224126 Enrollment ID: I20231122000792 |
| Provider Name | Tyler Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043740814 PECOS PAC ID: 5395196414 Enrollment ID: I20240112001594 |
| Provider Name | Julie Anne Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962492280 PECOS PAC ID: 5395196422 Enrollment ID: I20240112001992 |
| Provider Name | Christina Marie Ladd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053567834 PECOS PAC ID: 6406207588 Enrollment ID: I20240112003402 |
| Provider Name | Patricia Flaherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063456762 PECOS PAC ID: 2466804489 Enrollment ID: I20240116000917 |
| Provider Name | Colleen Marie Mcclurg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902084957 PECOS PAC ID: 0446602932 Enrollment ID: I20240119003784 |
| Provider Name | Nicholas M Fuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811413149 PECOS PAC ID: 0648623108 Enrollment ID: I20240131003086 |
| Provider Name | Craig J Lubbe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629167168 PECOS PAC ID: 2062865520 Enrollment ID: I20240131003229 |
| Provider Name | Ti'auna La'cole Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285918896 PECOS PAC ID: 0840643318 Enrollment ID: I20240131003399 |
| Provider Name | Alyssa Kiann Rennaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821564774 PECOS PAC ID: 8426401993 Enrollment ID: I20240131003608 |
| Provider Name | Tonya S Small |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548762511 PECOS PAC ID: 2668825142 Enrollment ID: I20240131003841 |
| Provider Name | Alix L Rowles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861977357 PECOS PAC ID: 7719330216 Enrollment ID: I20240131004618 |
| Provider Name | Pamela Walker Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346735487 PECOS PAC ID: 7517310022 Enrollment ID: I20240131004713 |
| Provider Name | Devon Huff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114684149 PECOS PAC ID: 3173966215 Enrollment ID: I20240206002876 |
| Provider Name | Linda Gotkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215571419 PECOS PAC ID: 6002259165 Enrollment ID: I20240206003619 |
| Provider Name | Naynil H Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538838792 PECOS PAC ID: 2264878818 Enrollment ID: I20240306001808 |
| Provider Name | Shila Ham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407627912 PECOS PAC ID: 9739525205 Enrollment ID: I20240307001361 |
| Provider Name | Gregory Allen Clements |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710414289 PECOS PAC ID: 8426494139 Enrollment ID: I20240315001240 |
Indiana Behavior Analysis Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2417 Baur Dr, Indianapolis, IN 46220 Phone: 317-414-2147 | |
St. Vincent Stress Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 | |
Reach For Youth, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5401 Shelby St, Indianapolis, IN 46227 Phone: 317-788-4451 Fax: 317-788-4465 | |
Hns Consulting Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4954 E 56th St Ste 14, Indianapolis, IN 46220 Phone: 317-640-6997 | |
Brain Performance Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3003 E. 98th Street, Suite # 107, Indianapolis, IN 46280 Phone: 463-273-2093 Fax: 317-672-1971 | |
Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 E 86th St, Ste. 101, Indianapolis, IN 46240 Phone: 317-466-1516 | |
Mind Matters Counseling And Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7962 Oaklandon Rd Ste 106, Indianapolis, IN 46236 Phone: 317-721-6145 |