South Bend Mental Health Associates
LBN: South Bend Mental Health Associates, Pc
South Bend Mental Health Associates is an health care organization with primary practice located at 113 Lincoln Way E , Mishawaka IN 46544-2016. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
South Bend Mental Health Associates, Pc can be contacted via phone (574) 255-1162, or through Wax, Alan H via phone (574) 255-1162.
Contact Information
Primary practice address
113 Lincoln Way E
Mishawaka IN 46544-2016
Phone: (574) 255-1162
Fax: (574) 233-8002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 57000133A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 57000133A | Indiana |
| Agencies / Community/Behavioral Health | 251S00000X | 57000133A | Indiana |
Profile Details
| NPI number | 1740489939 |
|---|---|
| LBN Legal business name | South Bend Mental Health Associates, Pc |
| DBA Doing business as | South Bend Mental Health Associates |
| Authorized official | Wax, Alan H PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Jun 18th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740489939 | NPPES |
| Indiana | Other | 000000368604 | ANTHEM |
| Indiana | MEDICAID | 200021670 | ANTHEM |
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