=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629688676
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACUMEN PSYCHIATRY SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2020
-----------------------------------------------------
Last Update Date | 01/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 550 CONGRESSIONAL BLVD
-----------------------------------------------------
City | CARMEL
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46032-5609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-886-8118
-----------------------------------------------------
Fax | 414-240-2801
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 550 CONGRESSIONAL BLVD STE 350
-----------------------------------------------------
City | CARMEL
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46032-0112
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-886-8118
-----------------------------------------------------
Fax | 414-240-2801
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JESSICA LYNN WALSH
-----------------------------------------------------
Credential | PMHNP-BC
-----------------------------------------------------
Telephone | 317-690-0699
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------