MEDICARE: NEIGHBORHOOD PSYCHIATRY, P.C.

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	50005371A	IN

General Provider Information

NPI Number	:	1568960409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD PSYCHIATRY, P.C.

Provider Business Mailing Address
First Line	:	6930 E 71ST ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4262
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6930 E 71ST ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4262
Country	:	US
Telephone Number	:	317-841-8600
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CURTIS STENNETT
Credential	:
Telephone Number	:	317-841-8600

Provider Enumeration Date	:	01/25/2018
Last Update Date	:	02/13/2018

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