INDY TEEN TREATMENT CENTER LLC
NPI 1174317143
Clinic/Center - Adolescent and Children Mental Health in Indianapolis, IN

Active since April 07, 2025CLIA 15D2326697 · Waiver
6620 PARKDALE PL STE N, INDIANAPOLIS, IN 46254(845) 372-6480 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Indy Teen Treatment Center Llc NPPES

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

INDY TEEN TREATMENT CENTER LLC (NPI 1174317143), doing business as Ittc, is a healthcare organization registered as an adolescent and children mental health in Indianapolis, Indiana and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Alexander Zeiger, Owner, as its authorized official.

NPPES Registry Identity

NPI1174317143
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameINDY TEEN TREATMENT CENTER LLC
Location Address6620 PARKDALE PL STE NIndianapolis, IN 46254-4697
Mailing Address1451 Route 88 Ste 5Brick, NJ 08724-2371 · (845) 372-6480
Organization SubpartNo
Authorized OfficialAlexander ZeigerOwner · (845) 372-6480
Enumeration DateApril 7, 2025
NPPES CertifiedApril 6, 2025
NPI 1174317143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
6620 PARKDALE PL STE N, Indianapolis, IN 46254

Other Names 2

Doing Business AsIttc
Doing Business AsNulife Behavioral Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2326697

Indy Teen Treatment Center LLC · Indianapolis, IN
Active · expires Jul 7, 2027
CLIA Number15D2326697
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorJessie Loghmani
Laboratory Phone(845) 372-6480
Laboratory LocationIndy Teen Treatment Center LLC6620 Parkdale Place Suite N, Indianapolis, IN 46254
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Social Worker
6620 PARKDALE PL STE N
INDIANAPOLIS, IN 46254
Substance Abuse Rehabilitation Facility
6620 PARKDALE PL STE N
INDIANAPOLIS, IN 46254

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 Indy Teen Treatment Center LLC's NPI number?

The NPI number for Indy Teen Treatment Center LLC is 1174317143. It was assigned to this organization in the NPPES registry on April 7, 2025. The provider is doing business as Ittc and nulife behavioral health.

Where is Indy Teen Treatment Center LLC located?

Indy Teen Treatment Center LLC is located at 6620 Parkdale Pl Ste N, Indianapolis, IN 46254. The listed phone number is (845) 372-6480.

What is Indy Teen Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Indy Teen Treatment Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2326697) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Indy Teen Treatment Center LLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.