Active NPIOrganization

Cerebrocare Of Indiana, LLC

Psychiatry & Neurology, Neurology in Lafayette, Indiana

NPI Number1659062099
Practice location
130 Professional CT, Lafayette, IN 47905-5153
Fax
—
Last updated
August 11, 2023

Cerebrocare Of Indiana, LLC is a healthcare organization based in Lafayette, IN. Cerebrocare Of Indiana, LLC practices in Lafayette, IN. The NPI Number for Cerebrocare Of Indiana, LLC is 1659062099. The current practice location address for Cerebrocare Of Indiana, LLC is 130 Professional CT, Lafayette, IN 47905-5153 and can be reached out via phone at 219-588-8000.

Provider Profile Details

NPI Number
1659062099
Provider Name
Cerebrocare Of Indiana, LLC
Provider Entity Type
Organization
Address
130 Professional CT, Lafayette, IN 47905-5153
Phone Number
219-588-8000
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Organization Subpart
No
Authorized Official
Bruce Ballet · Executive Vp · 860-771-0622
Provider Enumeration Date
May 17, 2023
Last Update Date
August 11, 2023
Certification Date
August 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Professional CT
Lafayette, IN 47905-5153
State
Indiana
Zip
47905-5153
Phone Number
219-588-8000
Lafayette, IN 47905Get directions →

Provider Business Mailing Address Details

Address
34 Wells Dr
Farmington, CT 06032-3104
City
Farmington
State
CT
Zip
06032-3104
Phone Number
860-771-0622
Fax Number
606-402-2132

License Information

Taxonomy (1)
· 208VP0000X
Taxonomy (2)
Psychiatry & Neurology, Neurology · 2084N0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cerebrocare Of Indiana, LLC?

The NPI number of Cerebrocare Of Indiana, LLC is 1659062099. It was assigned on May 17, 2023 and is currently active in the NPPES registry.

What is the specialty of Cerebrocare Of Indiana, LLC?

Cerebrocare Of Indiana, LLC is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X).

Where does Cerebrocare Of Indiana, LLC practice?

The practice location is 130 Professional CT, Lafayette, IN 47905-5153. The office can be reached at 219-588-8000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659062099 directly on the NPPES registry website.

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