| Swanson Center | |
|
450 St Johns Road Michigan City IN 46360 | |
| (219) 879-4621 | |
| (219) 873-2388 |
| Full Name | Swanson Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 450 St Johns Road, Michigan City, Indiana |
| Authorized Official Name and Position | Kumud Aggarwal (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2198794621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swanson Center 450 St Johns Road Suite 501 Michigan City IN 46360 Ph: (219) 879-4621 | Swanson Center 450 St Johns Road Michigan City IN 46360 Ph: (219) 879-4621 |
| NPI Number | 1295746816 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 3274703046 |
|---|---|
| Medicare Enrollment ID | O20110906000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295746816 | NPI | - | NPPES |
| 100163580B | Medicaid | IN | |
| 100163580A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sonia B Yballe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306838784 PECOS PAC ID: 5991607350 Enrollment ID: I20040126000112 |
| Provider Name | Cheryl G Spence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730288234 PECOS PAC ID: 3870555881 Enrollment ID: I20041102000433 |
| Provider Name | Charles F Motley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316948789 PECOS PAC ID: 2365491982 Enrollment ID: I20050823000339 |
| Provider Name | Valsa Ouseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336354448 PECOS PAC ID: 5597723460 Enrollment ID: I20051108000330 |
| Provider Name | Donna Maria Bard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912925827 PECOS PAC ID: 4688682354 Enrollment ID: I20060323000017 |
| Provider Name | Sajja L Babu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710906862 PECOS PAC ID: 3072651744 Enrollment ID: I20091118000072 |
| Provider Name | Kelly O'brian Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811086903 PECOS PAC ID: 0143416677 Enrollment ID: I20101123000995 |
| Provider Name | Kumud Aggarwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992776546 PECOS PAC ID: 1557536653 Enrollment ID: I20111227000524 |
| Provider Name | Samantha M Grooms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760611354 PECOS PAC ID: 5092974923 Enrollment ID: I20120312000734 |
| Provider Name | Mary Dugan Marx |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184932923 PECOS PAC ID: 6507021466 Enrollment ID: I20120628000006 |
| Provider Name | Joseph Fanelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205962495 PECOS PAC ID: 2860560208 Enrollment ID: I20120712000536 |
| Provider Name | Jennifer Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063781532 PECOS PAC ID: 7315192705 Enrollment ID: I20130311000352 |
| Provider Name | Jennifer Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346586112 PECOS PAC ID: 1951530542 Enrollment ID: I20140130001147 |
| Provider Name | Melissa Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083958920 PECOS PAC ID: 6507182458 Enrollment ID: I20150311002499 |
| Provider Name | Karen Bloomer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417923384 PECOS PAC ID: 8729399142 Enrollment ID: I20150625001151 |
| Provider Name | Sarah M. Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881638351 PECOS PAC ID: 7214239466 Enrollment ID: I20160106000288 |
| Provider Name | Tamara A Macharaschwili |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467522300 PECOS PAC ID: 7517146947 Enrollment ID: I20160121000076 |
| Provider Name | Joyce A Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164729174 PECOS PAC ID: 3375445950 Enrollment ID: I20160208001847 |
| Provider Name | Juliette Greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265965024 PECOS PAC ID: 3870879034 Enrollment ID: I20170425000367 |
| Provider Name | Carmen Bonita Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104009000 PECOS PAC ID: 7810257805 Enrollment ID: I20180213001233 |
| Provider Name | Geetha Dhatreecharan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528210556 PECOS PAC ID: 2264591031 Enrollment ID: I20190129000852 |
| Provider Name | Nichole Semala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811538085 PECOS PAC ID: 3274864467 Enrollment ID: I20191021001235 |
| Provider Name | Christine Cuddeback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154966109 PECOS PAC ID: 9032542535 Enrollment ID: I20191212003119 |
| Provider Name | Sara Bachani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407230378 PECOS PAC ID: 7416378096 Enrollment ID: I20200608001245 |
| Provider Name | Nicole A Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952932915 PECOS PAC ID: 2163846486 Enrollment ID: I20200721000131 |
| Provider Name | Nicole Hufford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164189684 PECOS PAC ID: 5890185433 Enrollment ID: I20211214001103 |
| Provider Name | Carl Hufford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396482287 PECOS PAC ID: 9931575651 Enrollment ID: I20221021000632 |
| Provider Name | Karla Sue Schoof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366169088 PECOS PAC ID: 9537538491 Enrollment ID: I20221215001533 |
The Neuroclinic P C Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 130 Commerce Sq, Michigan City, IN 46360 Phone: 219-878-9870 Fax: 219-878-9873 | |
Brighter Beginnings Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Franklin St, Suite 203, Michigan City, IN 46360 Phone: 219-608-8357 | |
Franciscan Health Michigan City Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-877-1033 | |
Matias Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1000 Washington St, Michigan City, IN 46360 Phone: 219-916-0239 Fax: 219-809-9198 | |
Keys Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 W 4th St, Michigan City, IN 46360 Phone: 219-809-0333 Fax: 219-809-0334 | |
Just Breathe Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 517 Franklin St # 104, Michigan City, IN 46360 Phone: 219-545-2972 Fax: 219-728-1485 | |
A New Focus Psychological Services, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1411 S. Woodland Avenue, Suite B, Michigan City, IN 46360 Phone: 219-879-8580 |