TEN BROECK TENNESSEE PHYSICIANS GROUP INC
NPI 1164008553
Clinic/Center - Adult Mental Health in Salem, IN

Active since March 24, 2021
911 N SHELBY ST, SALEM, IN 47167(812) 883-8583(812) 883-8595 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ten Broeck Tennessee Physicians Group Inc NPPES

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

TEN BROECK TENNESSEE PHYSICIANS GROUP INC (NPI 1164008553) is a healthcare organization registered as an adult mental health in Salem, Indiana and active in the NPI registry since March 2021. The organization lists Karissa Hutson, Business Office, as its authorized official.

NPPES Registry Identity

NPI1164008553
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTEN BROECK TENNESSEE PHYSICIANS GROUP INC
Location Address911 N SHELBY STSalem, IN 47167-2304
Mailing Address911 N Shelby StSalem, IN 47167-2304 · (812) 883-8583 · Fax (812) 883-8595
Fax(812) 883-8595
Organization SubpartNo
Authorized OfficialKarissa HutsonBusiness Office · (931) 319-4231
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1164008553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
911 N SHELBY ST, Salem, IN 47167

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
911 N SHELBY ST
SALEM, IN 47167
Registered Nurse (Emergency)
911 N SHELBY ST
SALEM, IN 47167
Emergency Medicine
911 N SHELBY ST
SALEM, IN 47167
Physical Therapist
911 N SHELBY ST
SALEM, IN 47167
Physical Therapist
911 N SHELBY ST
SALEM, IN 47167
Medicare Defined Swing Bed Unit
911 N SHELBY ST
SALEM, IN 47167
Physical Therapy Assistant
911 N SHELBY ST
SALEM, IN 47167
Clinical Medical Laboratory
911 N SHELBY ST
SALEM, IN 47167

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 Ten Broeck Tennessee Physicians Group Inc's NPI number?

The NPI number for Ten Broeck Tennessee Physicians Group Inc is 1164008553. It was assigned to this organization in the NPPES registry on March 24, 2021.

Where is Ten Broeck Tennessee Physicians Group Inc located?

Ten Broeck Tennessee Physicians Group Inc is located at 911 N Shelby St, Salem, IN 47167. The listed phone number is (812) 883-8583.

What is Ten Broeck Tennessee Physicians Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Ten Broeck Tennessee Physicians Group Inc was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.