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:
Map and Directions
Authorized official contact:
Name: Wax, Alan H PH.D.
Phone: (574) 255-1162

Health care specialties

SpecialtyCodeLicense #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 16 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 1740489939 NPPES
Indiana Other 000000368604 ANTHEM
Indiana MEDICAID 200021670 ANTHEM

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