PROGRESSIVE PSYCHIATRIC SERVICES LLC
NPI 1366386799
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since April 16, 2026
14903 SANDSTONE DR, FORT WAYNE, IN 46814(260) 249-0409 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Progressive Psychiatric Services Llc NPPES

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

PROGRESSIVE PSYCHIATRIC SERVICES LLC (NPI 1366386799) is a healthcare organization registered as a psychiatric/mental health in Fort Wayne, Indiana and active in the NPI registry since April 2026. The organization lists Christina E Agunanne, Member, as its authorized official.

NPPES Registry Identity

NPI1366386799
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePROGRESSIVE PSYCHIATRIC SERVICES LLC
Location Address14903 SANDSTONE DRFort Wayne, IN 46814-8888
Mailing Address429 E Dupont Rd # 1064Fort Wayne, IN 46825-2051 · (260) 249-0409
Organization SubpartNo
Authorized OfficialChristina E AgunanneMember · (260) 249-0409
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
NPI 1366386799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
14903 SANDSTONE DR, Fort Wayne, IN 46814

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 SINGLE SPECIALTY GROUP

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.

Nurse Practitioner (Psychiatric/Mental Health)
14903 SANDSTONE DR
FORT WAYNE, IN 46814
Technician (Personal Care Attendant)
14903 SANDSTONE DR
FORT WAYNE, IN 46814

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 Progressive Psychiatric Services LLC's NPI number?

The NPI number for Progressive Psychiatric Services LLC is 1366386799. It was assigned to this organization in the NPPES registry on April 16, 2026.

Where is Progressive Psychiatric Services LLC located?

Progressive Psychiatric Services LLC is located at 14903 Sandstone Dr, Fort Wayne, IN 46814. The listed phone number is (260) 249-0409.

What is Progressive Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Progressive Psychiatric Services LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.