EASTSIDE PREVENTIVE & BEHAVIORAL HEALTHCARE CLINIC
NPI 1104646702
Community/Behavioral Health in Indianapolis, IN

Active since October 16, 2024
1605 WARREN LAKE CT, INDIANAPOLIS, IN 46229(417) 619-2768 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastside Preventive & Behavioral Healthcare Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE PREVENTIVE & BEHAVIORAL HEALTHCARE CLINIC (NPI 1104646702) is a healthcare organization registered as a community/behavioral health in Indianapolis, Indiana and active in the NPI registry since October 2024. The organization lists Delilah Hood, President, as its authorized official.

NPPES Registry Identity

NPI1104646702
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEASTSIDE PREVENTIVE & BEHAVIORAL HEALTHCARE CLINIC
Location Address1605 WARREN LAKE CTIndianapolis, IN 46229-2290
Mailing Address1605 Warren Lake CtIndianapolis, IN 46229-2290 · (417) 619-2768
Organization SubpartNo
Authorized OfficialDelilah HoodPresident · (417) 619-2768
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
NPI 1104646702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1605 WARREN LAKE CT, Indianapolis, IN 46229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastside Preventive & Behavioral Healthcare Clinic's NPI number?

The NPI number for Eastside Preventive & Behavioral Healthcare Clinic is 1104646702. It was assigned to this organization in the NPPES registry on October 16, 2024.

Where is Eastside Preventive & Behavioral Healthcare Clinic located?

Eastside Preventive & Behavioral Healthcare Clinic is located at 1605 Warren Lake Ct, Indianapolis, IN 46229. The listed phone number is (417) 619-2768.

What is Eastside Preventive & Behavioral Healthcare Clinic's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Eastside Preventive & Behavioral Healthcare Clinic was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.