Midwest Addiction Psychiatric & Psychological Services Llc
Addiction Psychiatry Physician in Fort Wayne, Indiana
NPI 1336190149
Midwest Addiction Psychiatric & Psychological Services Llc is an Addiction Psychiatry Physician based in Fort Wayne, IN and is specialized in Addiction Psychiatry. Midwest Addiction Psychiatric & Psychological Services Llc practices in Fort Wayne, IN. The NPI Number for Midwest Addiction Psychiatric & Psychological Services Llc is 1336190149 and holds a License No. 14060ASO (Indiana).
The current practice location address for Midwest Addiction Psychiatric & Psychological Services Llc is 3010 E. State Blvd, Fort Wayne, IN and can be reached out via phone at 260-471-0632 and via fax at 260-471-3451. You can also correspond with Midwest Addiction Psychiatric & Psychological Services Llc through the mailing address at 3010 E STATE BLVD, FORT WAYNE, IN - 46805-4700 (mailing address contact number: 260-471-0632).
Location: 3010 E. State Blvd, Fort Wayne, IN, 46805-4700
Provider Profile Details
NPI Number
1336190149
Provider Name
Midwest Addiction Psychiatric & Psychological Services Llc
Credential
Provider Entity Type
Organization
Address
3010 E. State Blvd, Fort Wayne, IN, 46805-4700
Phone Number
260-471-0632
Fax Number
260-471-3451
Provider Enumeration Date
05/15/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200200260A | 05 | IN |
Provider Business Practice Location Address Details
Address
3010 E. State Blvd
City
State
Zip
46805
Phone Number
260-471-0632
Fax Number
260-471-3451
Provider Business Mailing Address Details
Address
3010 E State Blvd
City
State
Zip
46805-4700
Phone Number
260-471-0632
Fax Number
260-471-3451
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14060ASO (Indiana)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
14060ASO (Indiana)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
14060ASO (Indiana)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14060ASO (Indiana)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
License No.
14060ASO (Indiana)
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Provider's Taxonomy Details 6
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
License No.
14060ASO (Indiana)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Provider's Taxonomy Details 7
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
License No.
14060ASO (Indiana)
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Provider's Taxonomy Details 8
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
14060ASO (Indiana)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 9
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
14060ASO (Indiana)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Provider's Taxonomy Details 10
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
License No.
14060ASO (Indiana)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Provider's Taxonomy Details 11
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
License No.
14060ASO (Indiana)
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
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