| St. Vincent Hospital & Health Care Center, Inc. | |
|
8401 Harcourt Rd Indianapolis IN 46260-2036 | |
| (317) 338-4600 | |
| Not Available |
| Full Name | St. Vincent Hospital & Health Care Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8401 Harcourt Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Brian Morris (CFO) |
| Authorized Official Contact | 3173386234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Hospital & Health Care Center, Inc. 250 W 96th St Ste 520 Indianapolis IN 46260-1317 Ph: () - | St. Vincent Hospital & Health Care Center, Inc. 8401 Harcourt Rd Indianapolis IN 46260-2036 Ph: (317) 338-4600 |
| NPI Number | 1689869893 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 4981516853 |
|---|---|
| Medicare Enrollment ID | O20040712000933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689869893 | NPI | - | NPPES |
| 200064190A | Medicaid | IN | |
| 100312620A | Medicaid | IN |
| Provider Name | Charles Andrew Class |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891779922 PECOS PAC ID: 4789577651 Enrollment ID: I20040204000798 |
| Provider Name | Shannon Lee Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396720959 PECOS PAC ID: 0941255426 Enrollment ID: I20050317000422 |
| Provider Name | Oleh Dzera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255348371 PECOS PAC ID: 5991726044 Enrollment ID: I20051216000115 |
| Provider Name | Larry D Beeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770588527 PECOS PAC ID: 5092810200 Enrollment ID: I20070417000550 |
| Provider Name | Michael A Oakley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740264621 PECOS PAC ID: 7810083029 Enrollment ID: I20071019000155 |
| Provider Name | Richard Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710104088 PECOS PAC ID: 6507956596 Enrollment ID: I20071213000786 |
| Provider Name | Jerry Herbert Fletcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770567026 PECOS PAC ID: 4082781877 Enrollment ID: I20080919000429 |
| Provider Name | Erika Criss Cornett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700994886 PECOS PAC ID: 3375667132 Enrollment ID: I20100831000285 |
| Provider Name | Katy Lynn Hazard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861702755 PECOS PAC ID: 5799971792 Enrollment ID: I20101201001073 |
| Provider Name | Faizah Mawusi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588780555 PECOS PAC ID: 7810179447 Enrollment ID: I20110308000380 |
| Provider Name | Lyndsay Leigh Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740490911 PECOS PAC ID: 6709058225 Enrollment ID: I20111005000674 |
| Provider Name | Manige Konig |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629231584 PECOS PAC ID: 0042453169 Enrollment ID: I20140722002138 |
| Provider Name | Briana Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659622959 PECOS PAC ID: 6204088438 Enrollment ID: I20150303001662 |
| Provider Name | Brian Quinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427373802 PECOS PAC ID: 5799918926 Enrollment ID: I20150521001346 |
| Provider Name | Laura Ann Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417005810 PECOS PAC ID: 5991967770 Enrollment ID: I20151210002573 |
| Provider Name | Marie Yager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962869917 PECOS PAC ID: 1052617974 Enrollment ID: I20160302002034 |
| Provider Name | Marjorie Ellen Brezik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588049407 PECOS PAC ID: 6800192188 Enrollment ID: I20160314000060 |
| Provider Name | Sabrina Fields White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164875795 PECOS PAC ID: 3274821335 Enrollment ID: I20161005003035 |
| Provider Name | Madeline Lee Briere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720457245 PECOS PAC ID: 9537461967 Enrollment ID: I20170802001674 |
| Provider Name | Elizabeth Hoban |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861901928 PECOS PAC ID: 6901171081 Enrollment ID: I20170929002537 |
| Provider Name | Ayodeji I Ogunleye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629485107 PECOS PAC ID: 0345504767 Enrollment ID: I20180510000470 |
| Provider Name | Jesseca Wardwell Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043790090 PECOS PAC ID: 8426309196 Enrollment ID: I20180919000429 |
| Provider Name | Noelle Nicole Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700365111 PECOS PAC ID: 5193076859 Enrollment ID: I20180920000138 |
| Provider Name | Stephen R Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477028330 PECOS PAC ID: 3678827813 Enrollment ID: I20181107000538 |
| Provider Name | Juan R Jaramillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568579670 PECOS PAC ID: 7315993888 Enrollment ID: I20190319003070 |
| Provider Name | Priscilla Lynn Schnur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396392353 PECOS PAC ID: 2961731500 Enrollment ID: I20190909000124 |
| Provider Name | Allyson Nicole Lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689100976 PECOS PAC ID: 6608108618 Enrollment ID: I20191024000704 |
| Provider Name | Rachel Louise Mccaslin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710213384 PECOS PAC ID: 1254765761 Enrollment ID: I20191216001801 |
| Provider Name | Jennifer B Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265450779 PECOS PAC ID: 7517110059 Enrollment ID: I20200127000730 |
| Provider Name | Nikki Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447417134 PECOS PAC ID: 2769819184 Enrollment ID: I20200225001531 |
| Provider Name | Jennifer Wert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548882475 PECOS PAC ID: 1052732583 Enrollment ID: I20200609000511 |
| Provider Name | Lindsay Cueto-delgado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659815421 PECOS PAC ID: 3274889860 Enrollment ID: I20200723002362 |
| Provider Name | Erin C Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881173391 PECOS PAC ID: 6800208745 Enrollment ID: I20201216003296 |
| Provider Name | Sheri A Nisely Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548301583 PECOS PAC ID: 7012321789 Enrollment ID: I20210121001079 |
| Provider Name | Regina Berkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790277309 PECOS PAC ID: 5496159139 Enrollment ID: I20210803002248 |
| Provider Name | Lauren Elise Mcknight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609386713 PECOS PAC ID: 0648674382 Enrollment ID: I20210803002354 |
| Provider Name | Jennifer Vandivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205506557 PECOS PAC ID: 9537566260 Enrollment ID: I20210923001211 |
| Provider Name | Courtney Tharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063184604 PECOS PAC ID: 7315335783 Enrollment ID: I20211104000916 |
| Provider Name | Dayle Meredith Erwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508523044 PECOS PAC ID: 1951792860 Enrollment ID: I20220104002025 |
| Provider Name | Erika Julia Forslund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154980761 PECOS PAC ID: 2062803810 Enrollment ID: I20220105001104 |
| Provider Name | Nicholas Walker Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639622418 PECOS PAC ID: 9032505235 Enrollment ID: I20220414001255 |
| Provider Name | Erica Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720584881 PECOS PAC ID: 2961755566 Enrollment ID: I20220623003346 |
| Provider Name | Katlynn M Schlaeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861968067 PECOS PAC ID: 0547643918 Enrollment ID: I20220817002361 |
| Provider Name | Brittany Sollman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366193492 PECOS PAC ID: 7315312469 Enrollment ID: I20230404000486 |
| Provider Name | Gina Schenk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134828924 PECOS PAC ID: 2365800299 Enrollment ID: I20230623002746 |
| Provider Name | Ellen Marie Bowes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063986826 PECOS PAC ID: 4688038367 Enrollment ID: I20230913004096 |
| Provider Name | Briauna Paul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457126989 PECOS PAC ID: 0042668667 Enrollment ID: I20231121000484 |
| Provider Name | Jeremy W Algate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558069203 PECOS PAC ID: 8820459134 Enrollment ID: I20231127001250 |
| Provider Name | Amanda Wallace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770169955 PECOS PAC ID: 5496103731 Enrollment ID: I20231128001798 |
| Provider Name | Blair Barrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841739521 PECOS PAC ID: 1456709609 Enrollment ID: I20231128002419 |
| Provider Name | Kelsey Ann Birkner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265060701 PECOS PAC ID: 6103274303 Enrollment ID: I20231129000660 |
| Provider Name | Amber N Cowan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861020356 PECOS PAC ID: 9931557097 Enrollment ID: I20231129003598 |
| Provider Name | Thomas K Misetic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114097219 PECOS PAC ID: 9830547785 Enrollment ID: I20231202000601 |
| Provider Name | Jillian Beyke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982145686 PECOS PAC ID: 1153779020 Enrollment ID: I20231204000672 |
| Provider Name | David Gene Moscrip |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588641427 PECOS PAC ID: 8729436605 Enrollment ID: I20231204000970 |
| Provider Name | Marla Beth Rosenwinkel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679815682 PECOS PAC ID: 3274981006 Enrollment ID: I20231204003187 |
| Provider Name | Stephanie Lee Zimmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871273136 PECOS PAC ID: 1658720453 Enrollment ID: I20231205002692 |
| Provider Name | Michelle Louise Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346224227 PECOS PAC ID: 0042669863 Enrollment ID: I20231205003371 |
| Provider Name | Stephanie Coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518543792 PECOS PAC ID: 4385093897 Enrollment ID: I20231208003140 |
| Provider Name | Julie Ann Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174507057 PECOS PAC ID: 9638528615 Enrollment ID: I20231215002638 |
| Provider Name | Lisa M Jewett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831513472 PECOS PAC ID: 0547610313 Enrollment ID: I20231220002899 |
| Provider Name | Margot Ann Everitt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750637112 PECOS PAC ID: 6406206846 Enrollment ID: I20231227000782 |
| Provider Name | Brett Charles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396298659 PECOS PAC ID: 3971955089 Enrollment ID: I20240113000409 |
| Provider Name | James Ming Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588135552 PECOS PAC ID: 6709239833 Enrollment ID: I20240125000999 |
| Provider Name | Elizabeth Anstak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861020349 PECOS PAC ID: 6608219670 Enrollment ID: I20240206004181 |
| Provider Name | Laura Braun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013599505 PECOS PAC ID: 9830534999 Enrollment ID: I20240228002087 |
| Provider Name | Christopher David Krumrei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073387080 PECOS PAC ID: 6002252368 Enrollment ID: I20240308000862 |
| Provider Name | Shelby Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407620354 PECOS PAC ID: 1658719372 Enrollment ID: I20240401001518 |
| Provider Name | Lynzie Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366424137 PECOS PAC ID: 8224477369 Enrollment ID: I20240422002603 |
| Provider Name | Erica Denelle Brodowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851897649 PECOS PAC ID: 8426490822 Enrollment ID: I20240530003855 |
| Provider Name | Savannah Dobin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851143861 PECOS PAC ID: 0042652448 Enrollment ID: I20240530003966 |
| Provider Name | Matthew Eric Mobley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497738819 PECOS PAC ID: 3577007913 Enrollment ID: I20240626004320 |
| Provider Name | Lindsey Towe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245087816 PECOS PAC ID: 1951845932 Enrollment ID: I20240701003966 |
| Provider Name | Hilary Massey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750813291 PECOS PAC ID: 0042616120 Enrollment ID: I20240812001462 |
| Provider Name | Tamara Leigh Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770279937 PECOS PAC ID: 4981143807 Enrollment ID: I20240823000378 |
| Provider Name | Haley Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639915085 PECOS PAC ID: 1355880717 Enrollment ID: I20240829000530 |
| Provider Name | Kayley Ann Schuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467137166 PECOS PAC ID: 0143760736 Enrollment ID: I20240910002776 |
| Provider Name | Dai Robert Grose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639905219 PECOS PAC ID: 6800328089 Enrollment ID: I20241011003840 |
| Provider Name | Shelby Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790524973 PECOS PAC ID: 3476088956 Enrollment ID: I20241120002719 |
| Provider Name | Megan Fishback |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134899271 PECOS PAC ID: 1153857677 Enrollment ID: I20241207000335 |
| Provider Name | Julia Lieberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043997521 PECOS PAC ID: 5193255206 Enrollment ID: I20250204003861 |
| Provider Name | Toshie Kagosawa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326343369 PECOS PAC ID: 0446780571 Enrollment ID: I20250205000752 |
| Provider Name | Nickolas Eric Falangas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922824499 PECOS PAC ID: 4385174762 Enrollment ID: I20250214000843 |
| Provider Name | Rachel Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508260035 PECOS PAC ID: 8325303597 Enrollment ID: I20250424003605 |
| Provider Name | Heather Bromley Pinkerton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821779471 PECOS PAC ID: 5294251856 Enrollment ID: I20250428000117 |
| Provider Name | Alysa Mari Copenhaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851191464 PECOS PAC ID: 8022527050 Enrollment ID: I20250602002429 |
| Provider Name | Jeffrey Alan Avants |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003059387 PECOS PAC ID: 0345750998 Enrollment ID: I20250611003448 |
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 Hospital & Health Care Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 | |
Southside Youth Council, 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: Not Enrolled in Medicare 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 |