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INDIANA CENTER FOR COGNITIVE BEHAVIOR THERAPY
NPI 1285839480
Psychologist - Prescribing (Medical) in Ft. Wayne, IN

Active since June 18, 2007
423 AIRPORT N. OFFICE PARK, FT. WAYNE, IN 46825(260) 969-5583(260) 969-5584 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2019, Apr 18, 2018 (2 updates tracked since 2018).

About Indiana Center For Cognitive Behavior Therapy NPPES

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

INDIANA CENTER FOR COGNITIVE BEHAVIOR THERAPY (NPI 1285839480) is a healthcare organization registered as a prescribing (medical) in Ft. Wayne, Indiana and active in the NPI registry since June 2007. The organization lists Sharon E Freeman Clevenger, Owner, as its authorized official.

NPPES Registry Identity

NPI1285839480
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameCENTER FOR BRIEF THERAPY PC
Location Address423 AIRPORT N. OFFICE PARKFt. Wayne, IN 46825-6704
Mailing Address423 Airport N. Office ParkFort. Wayne, IN 46825-6704 · (260) 969-5583 · Fax (260) 969-5584
Phone(260) 969-5583
Fax(260) 969-5584
Organization SubpartNo
Authorized OfficialSharon E Freeman ClevengerOwner · (260) 969-5583
Enumeration DateJune 18, 2007
Last NPPES UpdateApril 23, 20192 updates tracked since enumeration
✔ NPI 1285839480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in IN · 70000153A
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 20042050A (IN)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 35001565A (IN)
423 AIRPORT N. OFFICE PARK, Ft. Wayne, IN 46825
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Other Names 1

Doing Business AsIndiana Center For Cognitive Behavior Therapy

Other Identifiers 3

Other376137IN · Anthem
Other386107IN · Anthem
Other7585825IN · Aetna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Center For Brief Therapy PC's NPI number?

The NPI number for Center For Brief Therapy PC is 1285839480. It was assigned to this organization in the NPPES registry on June 18, 2007. The provider is doing business as Indiana Center For Cognitive Behavior Therapy.

Where is Center For Brief Therapy PC located?

Center For Brief Therapy PC is located at 423 Airport N. Office Park, Ft. Wayne, IN 46825. The listed phone number is (260) 969-5583.

What is Center For Brief Therapy PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Center For Brief Therapy PC was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.