| Anderson Center | |
|
2210 Jackson St Anderson IN 46016-4363 | |
| (765) 644-1414 | |
| Not Available |
| Full Name | Anderson Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2210 Jackson St, Anderson, Indiana |
| Authorized Official Name and Position | Laura Adams (VICE PRESIDENT) |
| Authorized Official Contact | 7656468132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Center 10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 Ph: () - | Anderson Center 2210 Jackson St Anderson IN 46016-4363 Ph: (765) 644-1414 |
| NPI Number | 1659624179 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 08/10/2016 |
| Medicare PECOS PAC ID | 5890949622 |
|---|---|
| Medicare Enrollment ID | O20130315000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659624179 | NPI | - | NPPES |
| Provider Name | Andrew O'connor Skinner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578594826 PECOS PAC ID: 4183681570 Enrollment ID: I20041217000025 |
| Provider Name | Craig E Buckles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487689527 PECOS PAC ID: 4082645098 Enrollment ID: I20050829000794 |
| Provider Name | Stefane Borders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720083835 PECOS PAC ID: 1456360023 Enrollment ID: I20060410000240 |
| Provider Name | William J Kopp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285604371 PECOS PAC ID: 0840398392 Enrollment ID: I20070606000382 |
| Provider Name | Stephen Wayne Creel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174603393 PECOS PAC ID: 7315033099 Enrollment ID: I20071010000562 |
| Provider Name | Paul A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619908019 PECOS PAC ID: 4789771239 Enrollment ID: I20071030000497 |
| Provider Name | Melisa Zehr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336399823 PECOS PAC ID: 1658449400 Enrollment ID: I20081006000682 |
| Provider Name | Annette L Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215186317 PECOS PAC ID: 0648348409 Enrollment ID: I20081007000027 |
| Provider Name | Hazim Ibrahim Rimawi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215905773 PECOS PAC ID: 5698864494 Enrollment ID: I20100614000494 |
| Provider Name | Ubaidullah Sharief |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1053348326 PECOS PAC ID: 1153322797 Enrollment ID: I20100730000279 |
| Provider Name | Beth Anne Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770881971 PECOS PAC ID: 4688859648 Enrollment ID: I20110506000398 |
| Provider Name | Susan C Franks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508124520 PECOS PAC ID: 3971766247 Enrollment ID: I20120524000054 |
| Provider Name | Amy J Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972866085 PECOS PAC ID: 6103081740 Enrollment ID: I20120703000577 |
| Provider Name | Michelle Krieg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285001719 PECOS PAC ID: 6103133087 Enrollment ID: I20150910001334 |
| Provider Name | Lori Ann Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558528133 PECOS PAC ID: 7517262470 Enrollment ID: I20160302000047 |
| Provider Name | Lindsay Marie Diemer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023457124 PECOS PAC ID: 0042501215 Enrollment ID: I20170412002035 |
| Provider Name | Tammy Anne Wolverton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770139586 PECOS PAC ID: 6406288083 Enrollment ID: I20191120001087 |
| Provider Name | Allison Nicole Edwards Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275135881 PECOS PAC ID: 8820409857 Enrollment ID: I20201124001488 |
| Provider Name | Stacy Elizabeth Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255099727 PECOS PAC ID: 3274910211 Enrollment ID: I20220513000972 |
| Provider Name | Mackenzie Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205536828 PECOS PAC ID: 1153795018 Enrollment ID: I20230316001979 |
| Provider Name | Nicholas Allen Majors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902687833 PECOS PAC ID: 8022465822 Enrollment ID: I20231116001455 |
| Provider Name | Mark Sattler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699036111 PECOS PAC ID: 6709196819 Enrollment ID: I20240222002940 |
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