The Ivy Group Of Fort Wayne

LBN: Hutner, Inc.
The Ivy Group Of Fort Wayne is an health care organization with primary practice located at 3240 Mallard Cove Ln , Fort Wayne IN 46804-2883. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Hutner, Inc. can be contacted via phone (260) 341-5848, or through Hutner, Brian Douglas via phone (260) 341-5848.

Contact Information

Primary practice address
3240 Mallard Cove Ln Fort Wayne IN 46804-2883
Phone: (260) 341-5848
Fax: (260) 755-5927
Website:
Map and Directions
Authorized official contact:
Name: Hutner, Brian Douglas PSY.D., HSPP
Phone: (260) 341-5848

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20041381A Indiana

Profile Details

NPI number 1720145774
LBN Legal business name Hutner, Inc.
DBA Doing business as The Ivy Group Of Fort Wayne
Authorized official Hutner, Brian Douglas PSY.D., HSPP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Jan 31st, 2014 - about 10 years 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 1720145774 NPPES
Indiana MEDICAID 200266510
Indiana MEDICAID 200412990-A
Indiana MEDICAID 200288980

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