1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Clinic Center
  6. NPI Profile

ALLENDALE ACADEMY LLC
NPI 1356007934
Clinic/Center - Adolescent and Children Mental Health in Fort Wayne, IN

Active since November 09, 2021CLIA 15D2187309 · Waiver
454 E DUPONT RD, FORT WAYNE, IN 46825(239) 888-4910 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allendale Academy Llc NPPES

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

ALLENDALE ACADEMY LLC (NPI 1356007934) is a healthcare organization registered as an adolescent and children mental health in Fort Wayne, Indiana and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Adam Hochberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1356007934
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameALLENDALE ACADEMY LLC
Location Address454 E DUPONT RDFort Wayne, IN 46825-2050
Mailing Address5419 County Road 427Auburn, IN 46706-9504
Phone(239) 888-4910
Organization SubpartNo
Authorized OfficialAdam HochbergOwner · (239) 888-4910
Enumeration DateNovember 9, 2021
NPPES CertifiedNovember 9, 2021
✔ NPI 1356007934 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 Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X
454 E DUPONT RD, Fort Wayne, IN 46825
Open in Google Maps ↗

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 15D2187309

Allendale LLC · Auburn, IN
Active · expires Jun 28, 2028
CLIA Number15D2187309
Laboratory TypeSubstance Use Treatment
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorNicole L. Hamer
Laboratory Phone(260) 333-5105
Laboratory LocationAllendale LLC5419 County Road 427, Auburn, IN 46706
CLIA data matches this NPI record on: Address Name
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.

SARA GLASSLEY NP
Nurse Practitioner
454 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 436-4060
ALLENDALE BEHAVIORAL HEALTH LLC
Psychiatric Residential Treatment Facility
454 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (239) 888-4910

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 Allendale Academy LLC's NPI number?

The NPI number for Allendale Academy LLC is 1356007934. It was assigned to this organization in the NPPES registry on November 9, 2021.

Where is Allendale Academy LLC located?

Allendale Academy LLC is located at 454 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (239) 888-4910.

What is Allendale Academy 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 Allendale Academy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2187309) is associated with this NPI, valid through June 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Allendale Academy LLC was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.