Great Lakes Institute For Neuropsychology & Behavioral Health

LBN: Great Lakes Institute For Neuropsychology & Behavioral Health
Great Lakes Institute For Neuropsychology & Behavioral Health is an health care organization with primary practice located at 494 S Emerson Ave Suite C, Greenwood IN 46143-1912. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Great Lakes Institute For Neuropsychology & Behavioral Health can be contacted via phone (317) 889-3901, or through Pederson, Sanford Lloyd via phone (317) 889-3901.

Contact Information

Primary practice address
494 S Emerson Ave Suite C Greenwood IN 46143-1912
Fax: (317) 889-3902
Website:
Authorized official contact:
Name: Pederson, Sanford Lloyd PH.D.

Profile Details

NPI number 1750599981
LBN Legal business name Great Lakes Institute For Neuropsychology & Behavioral Health
DBA Doing business as
Authorized official Pederson, Sanford Lloyd PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2007
Last updated Jun 7th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750599981 NPPES
Indiana MEDICAID 200227370

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