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FAWVER WALDO CLINIC LLP
NPI 1174536346
Clinic/Center - Adolescent and Children Mental Health in Fort Wayne, IN

Active since August 15, 2006
6920 POINTE INVERNESS WAY, SUITE 250, FORT WAYNE, IN 46804(260) 436-4060(260) 436-5713 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Fawver Waldo Clinic Llp NPPES

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

FAWVER WALDO CLINIC LLP (NPI 1174536346) is a healthcare organization registered as an adolescent and children mental health in Fort Wayne, Indiana and active in the NPI registry since August 2006. The organization lists Jay D Fawver, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1174536346
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameFAWVER WALDO CLINIC LLP
Location Address6920 POINTE INVERNESS WAY, SUITE 250Fort Wayne, IN 46804-7926
Mailing Address6920 Pointe Inverness Way, Suite 250Fort Wayne, IN 46804-7926 · (260) 436-4060 · Fax (260) 436-5713
Phone(260) 436-4060
Fax(260) 436-5713
Organization SubpartNo
Authorized OfficialJay D FawverManaging Partner · (260) 436-4060
Enumeration DateAugust 15, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1174536346 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 ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
6920 POINTE INVERNESS WAY, Fort Wayne, IN 46804
Open in Google Maps ↗

Other Identifiers 1

OtherDD0871Rr Medicare

Other Providers at the Same Location NPPES 3

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

GLORIA GAUBATZ
Nurse Practitioner
6920 POINTE INVERNESS WAY, SUITE 250
FORT WAYNE, IN 46804
Allen County (260) 436-4060
PSYCHIATRIC INNOVATIONS PC
Psychiatry & Neurology (Psychiatry)
6920 POINTE INVERNESS WAY, #250
FORT WAYNE, IN 46804
Allen County (260) 436-4060
VERONICA A PHILBIN RN, CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
6920 POINTE INVERNESS WAY, #250
FORT WAYNE, IN 46804
Allen County (260) 436-4060

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 Fawver Waldo Clinic LLP's NPI number?

The NPI number for Fawver Waldo Clinic LLP is 1174536346. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Fawver Waldo Clinic LLP located?

Fawver Waldo Clinic LLP is located at 6920 Pointe Inverness Way Suite 250, Fort Wayne, IN 46804. The listed phone number is (260) 436-4060.

What is Fawver Waldo Clinic LLP's specialty?

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

When was this NPI record last updated?

The NPPES record for Fawver Waldo Clinic LLP was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.