| Southwestern Behavioral Healthcare, Inc. | |
|
415 Mulberry St Evansville IN 47713-1230 | |
| (812) 423-7791 | |
| (812) 422-7558 |
| Full Name | Southwestern Behavioral Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 Mulberry St, Evansville, Indiana |
| Authorized Official Name and Position | Kathryn Adams (CEO) |
| Authorized Official Contact | 8124237791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwestern Behavioral Healthcare, Inc. 415 Mulberry St Evansville IN 47713-1230 Ph: (812) 423-7791 | Southwestern Behavioral Healthcare, Inc. 415 Mulberry St Evansville IN 47713-1230 Ph: (812) 423-7791 |
| NPI Number | 1033108766 |
|---|---|
| Provider Enumeration Date | 10/15/2005 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Medicare PECOS PAC ID | 7315842309 |
|---|---|
| Medicare Enrollment ID | O20031203000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033108766 | NPI | - | NPPES |
| 839090 | Other | IN | MEDICARE |
| 834950 | Other | IN | MEDICARE |
| 100240880 | Medicaid | IN | |
| 000000097841 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Indiana) | Primary |
| Provider Name | Jane A Kratochvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427118421 PECOS PAC ID: 7214913375 Enrollment ID: I20040629000050 |
| Provider Name | Lisa A Withrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669696050 PECOS PAC ID: 7012973456 Enrollment ID: I20041207000763 |
| Provider Name | Roseanna Linn Parkhurst Gatewood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023051141 PECOS PAC ID: 9638105919 Enrollment ID: I20050718000986 |
| Provider Name | Tracy J Kinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467403584 PECOS PAC ID: 9032128244 Enrollment ID: I20060417000764 |
| Provider Name | Jennie Pearl Hiam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144229295 PECOS PAC ID: 1153325469 Enrollment ID: I20060829000178 |
| Provider Name | Robert E Alley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346282241 PECOS PAC ID: 9830291988 Enrollment ID: I20070221000179 |
| Provider Name | Beth A Barchet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902913320 PECOS PAC ID: 1052418720 Enrollment ID: I20070515000418 |
| Provider Name | Katherine M Riedford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386817559 PECOS PAC ID: 0749352326 Enrollment ID: I20080627000053 |
| Provider Name | Gerard W Medicis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790809283 PECOS PAC ID: 8224104823 Enrollment ID: I20080905000182 |
| Provider Name | Gene R Flick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881681658 PECOS PAC ID: 2961568720 Enrollment ID: I20090303000032 |
| Provider Name | Julie D Vittori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710125448 PECOS PAC ID: 3072679844 Enrollment ID: I20090303000102 |
| Provider Name | Jennifer L Singleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508025024 PECOS PAC ID: 6709926769 Enrollment ID: I20091223000060 |
| Provider Name | Shannon R Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710091541 PECOS PAC ID: 4587796339 Enrollment ID: I20100714001040 |
| Provider Name | Tina Evans-robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972514446 PECOS PAC ID: 8224162433 Enrollment ID: I20100810000448 |
| Provider Name | Greg J Unfried |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194738211 PECOS PAC ID: 8729102967 Enrollment ID: I20100825000551 |
| Provider Name | Wendy James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205153087 PECOS PAC ID: 5597952440 Enrollment ID: I20101206000161 |
| Provider Name | Elizabeth C Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780994160 PECOS PAC ID: 3274771373 Enrollment ID: I20130531000323 |
| Provider Name | Allyson Huett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578999207 PECOS PAC ID: 4880823897 Enrollment ID: I20140213001402 |
| Provider Name | Neena F Livermore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083013957 PECOS PAC ID: 4385864164 Enrollment ID: I20140929002109 |
| Provider Name | James K Groves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609105543 PECOS PAC ID: 7517188238 Enrollment ID: I20141022001814 |
| Provider Name | Kelly A Mundell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861892895 PECOS PAC ID: 1254654148 Enrollment ID: I20141230000139 |
| Provider Name | Laura Alcock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508185356 PECOS PAC ID: 4880906981 Enrollment ID: I20150702000274 |
| Provider Name | Amanda K Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538679493 PECOS PAC ID: 8921365495 Enrollment ID: I20171208001401 |
| Provider Name | Michelle Marie Lovelady-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386949527 PECOS PAC ID: 6406117464 Enrollment ID: I20180308000637 |
| Provider Name | Stacey J Kuder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275020612 PECOS PAC ID: 5193062586 Enrollment ID: I20190123001744 |
| Provider Name | Kristina Lynn Groves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952773111 PECOS PAC ID: 6608118625 Enrollment ID: I20190423001901 |
| Provider Name | Andrew Hatfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821640889 PECOS PAC ID: 7012244023 Enrollment ID: I20190814002266 |
| Provider Name | Leslee Feller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639636715 PECOS PAC ID: 6204167281 Enrollment ID: I20191004001614 |
| Provider Name | Taylor Hatfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154832442 PECOS PAC ID: 5092046540 Enrollment ID: I20191014002892 |
| Provider Name | Dionne Hatcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609324979 PECOS PAC ID: 8325370893 Enrollment ID: I20191101002389 |
| Provider Name | Brandi E Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255858452 PECOS PAC ID: 3577999697 Enrollment ID: I20200210002104 |
| Provider Name | Suzanne Partridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598305450 PECOS PAC ID: 9931537198 Enrollment ID: I20200322000018 |
| Provider Name | Karen Goldie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114552882 PECOS PAC ID: 4981026887 Enrollment ID: I20200623001753 |
| Provider Name | Samantha Cummings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710404371 PECOS PAC ID: 2961829460 Enrollment ID: I20200828002171 |
| Provider Name | John D Wathen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316562499 PECOS PAC ID: 3678990892 Enrollment ID: I20200902000224 |
| Provider Name | Thea Luigs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669961256 PECOS PAC ID: 6800206780 Enrollment ID: I20201104000816 |
| Provider Name | Brittany Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003307224 PECOS PAC ID: 3678986320 Enrollment ID: I20210119002017 |
| Provider Name | Katlyn Garner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326529272 PECOS PAC ID: 8123433984 Enrollment ID: I20210209001989 |
| Provider Name | Tiffany Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720578768 PECOS PAC ID: 5799192829 Enrollment ID: I20210407001944 |
| Provider Name | Susan Wahlstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407433733 PECOS PAC ID: 0042628117 Enrollment ID: I20210410000034 |
| Provider Name | Charlotte Critchfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760004279 PECOS PAC ID: 0749689099 Enrollment ID: I20210519000743 |
| Provider Name | Leah Kuhlenschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053980664 PECOS PAC ID: 6002219458 Enrollment ID: I20210723000454 |
| Provider Name | Chelsea Risley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295311090 PECOS PAC ID: 4587068754 Enrollment ID: I20210810002732 |
| Provider Name | Murphy Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417516790 PECOS PAC ID: 1153719463 Enrollment ID: I20211019001148 |
| Provider Name | Jennifer White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386203081 PECOS PAC ID: 3870983794 Enrollment ID: I20211208003544 |
| Provider Name | Dana Tackett- Gesser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891305033 PECOS PAC ID: 8628346871 Enrollment ID: I20230201001641 |
| Provider Name | Laura Lochmueller |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1194487488 PECOS PAC ID: 2365814795 Enrollment ID: I20230214000815 |
| Provider Name | Leeanne Mobley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992295489 PECOS PAC ID: 8921470287 Enrollment ID: I20230214002311 |
| Provider Name | Meghan Cohron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932748241 PECOS PAC ID: 3072987163 Enrollment ID: I20230312000059 |
| Provider Name | Mackenzie Groover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497372296 PECOS PAC ID: 7214395698 Enrollment ID: I20230615003882 |
| Provider Name | Sarah-louise Seaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144856956 PECOS PAC ID: 3274991534 Enrollment ID: I20230618000014 |
| Provider Name | Kaycee Culp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760151393 PECOS PAC ID: 8729449509 Enrollment ID: I20230726001105 |
| Provider Name | Brooklyn Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295382505 PECOS PAC ID: 3678928066 Enrollment ID: I20231004001966 |
| Provider Name | Amanda Whitten |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295087278 PECOS PAC ID: 1153771191 Enrollment ID: I20240103001251 |
| Provider Name | Elizabeth Graham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962027904 PECOS PAC ID: 6406206457 Enrollment ID: I20240103001898 |
Evansville Lutheran Family Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 E Virginia St, Evansville, IN 47711 Phone: 812-424-5620 Fax: 812-424-5624 | |
Deaconess Pain Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 W Lloyd Expy, Evansville, IN 47712 Phone: 812-450-7246 Fax: 812-450-4855 | |
Empowerment Behavioral Services,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 John St, Evansville, IN 47713 Phone: 812-454-8829 | |
Paul Mefford Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 E Powell Ave, Evansville, IN 47713 Phone: 812-306-3053 | |
Brighter Side Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4972 Lincoln Ave Ste 204, Evansville, IN 47715 Phone: 812-962-9020 Fax: 812-962-8020 | |
Deaconess Hospital, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9779 Fax: 812-450-0007 |