Indiana Center For Cognitive Behavior Therapy is a medicare enrolled mental health clinic (Psychologist - Prescribing (medical)) in Ft. Wayne, Indiana. The current practice location for Indiana Center For Cognitive Behavior Therapy is 423 Airport N. Office Park, Ft. Wayne, Indiana. For appointments, you can reach them via phone at (260) 969-5583. The mailing address for Indiana Center For Cognitive Behavior Therapy is 423 Airport N. Office Park, Fort. Wayne, Indiana and phone number is (260) 969-5583.
Indiana Center For Cognitive Behavior Therapy is licensed to practice in Indiana (license number 70000153A). The clinic also participates in the medicare program and its NPI number is 1285839480. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (260) 969-5583.
Contact Information
Indiana Center For Cognitive Behavior Therapy
423 Airport N. Office Park Ft. Wayne IN 46825-6704
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Indiana Center For Cognitive Behavior Therapy 423 Airport N. Office Park Fort. Wayne IN 46825-6704 Ph: (260) 969-5583
Indiana Center For Cognitive Behavior Therapy 423 Airport N. Office Park Ft. Wayne IN 46825-6704 Ph: (260) 969-5583
NPI Details:
NPI Number
1285839480
Provider Enumeration Date
06/18/2007
Last Update Date
04/23/2019
Medicare PECOS Information:
Medicare PECOS PAC ID
5799714838
Medicare Enrollment ID
O20050809000261
Medical Identifiers
Medical identifiers for Indiana Center For Cognitive Behavior Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1285839480
NPI
-
NPPES
7585825
Other
IN
AETNA
376137
Other
IN
ANTHEM
386107
Other
IN
ANTHEM
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
103TH0100X
Psychologist - Health Service
20042050A (Indiana)
Secondary
103TP0016X
Psychologist - Prescribing (medical)
70000153A (Indiana)
Primary
106H00000X
Marriage & Family Therapist
35001565A (Indiana)
Secondary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Indiana Center For Cognitive Behavior Therapy acts as a billing entity for following providers: