DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1063415297

NPI Code Detail

MEDICARE: PARK VIEW PSYCHIATRIC SERVICES, PSC

MEDICARE: PARK VIEW PSYCHIATRIC SERVICES, PSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	50003891A	IN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	50003891A	IN
3	2084P0800X	Psychiatry Physician	50003891A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0676466	OTHER	KY	ELLEN KNOX'S KY MEDICARE #
2	160780J	OTHER	IN	KELLY BUTLER'S IN MEDICARE #
3	160780W	OTHER	IN	ELLEN KNOX'S IN MEDICARE #
4	CG3623	OTHER	IN	MEDICARE RAILROAD
5	CK2274	OTHER	KY	MEDICARE RAILROAD
6	160780Q	OTHER	IN	ASAD ISMAIL'S IN MEDICARE #
7	160780I	OTHER	IN	STEVE SHELTON'S IN MEDICARE #
8	160860	OTHER	IN	MEDICARE
10	0676401	OTHER	KY	STEVE SHELTON'S KY MEDICARE #
11	0676429	OTHER	KY	ASAD ISMAIL'S KY MEDICARE #
13	0676412	OTHER	KY	KELLY BUTLER'S KY MEDICARE #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	2444451000	OTHER	KY	PASSPORT ADVANTAGE
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	50002992	OTHER		PASSPORT HEALTH PLAN GROUP #
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	50010129	OTHER		PASSPORT HEALTH PLAN # FOR ISMAIL
17	50010173	OTHER		PASSPORT HEALTH PLAN # FOR KNOX
18	50010499	OTHER		PASSPORT HEALTH PLAN # FOR BUTLER
19	5002993	OTHER		PASSPORT HEALTH PLAN # FOR SHELTON
20	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063415297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARK VIEW PSYCHIATRIC SERVICES, PSC

Provider Business Mailing Address
First Line	:	510 SPRING ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-3554
Country	:	US
Telephone Number	:	812-282-1888
Fax Number	:	812-218-9318

Provider Business Practice Location Address
First Line	:	510 SPRING ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-3554
Country	:	US
Telephone Number	:	812-282-1888
Fax Number	:	812-218-9318

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN R. SHELTON
Credential	:	M.D.
Telephone Number	:	812-282-1888

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/14/2015

Similar Medicare Providers

1922001171 — JOY A. ANDERSON LCSW
Practice Location Address:

510 SPRING ST
JEFFERSONVILLE, IN
47130-3554

Practice Phone: 812-282-1888
Practice Fax: 812-285-8392

1952304040 — JANICE L BRASHEAR ARNP
Practice Location Address:

510 SPRING ST
JEFFERSONVILLE, IN
47130-3554

Practice Phone: 812-282-1888
Practice Fax: 812-285-8392

1407859465 — TRACIE L ANDERSON LCSW
Practice Location Address:

510 SPRING ST
JEFFERSONVILLE, IN
47130-3554

Practice Phone: 812-282-1888
Practice Fax: 812-218-9318

1336146422 — STEVEN G GIBSON MD
Practice Location Address:

510 SPRING ST
JEFFERSONVILLE, IN
47130-3554

Practice Phone: 812-282-1888
Practice Fax: 812-285-8892

1699772731 — LAURA L REDDING LCSW
Practice Location Address:

510 SPRING ST
JEFFERSONVILLE, IN
47130-3554

Practice Phone: 812-282-1888
Practice Fax: 812-285-8392

1629075742 — HENRY E COMBS L.C.S.W., PH D
Practice Location Address:

510 SPRING ST
JEFFERSONVILLE, IN
47130-3554

Practice Phone: 812-282-1888
Practice Fax: 812-285-8392

Directions to “PARK VIEW PSYCHIATRIC SERVICES, PSC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.