Healthcare Provider Details

I. General information

NPI: 1821682972
Provider Name (Legal Business Name): COX PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7916 TRADERS HOLLOW LN
INDIANAPOLIS IN
46278-1291
US

IV. Provider business mailing address

7916 TRADERS HOLLOW LN
INDIANAPOLIS IN
46278-1291
US

V. Phone/Fax

Practice location:
  • Phone: 317-457-4777
  • Fax:
Mailing address:
  • Phone: 317-457-4777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER COX
Title or Position: OWNER
Credential:
Phone: 317-457-4777