BLOOMINGTON MEADOWS GP -
NPI 1417968595
Psychiatric Residential Treatment Facility in Bloomington, IN

Active since August 11, 2006
3600 N PROW RD, BLOOMINGTON, IN 47404(812) 331-8000(812) 331-8985 Get Directions Write a Review

NPPES record last updated: January 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloomington Meadows Gp - NPPES

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

BLOOMINGTON MEADOWS GP - (NPI 1417968595) is a healthcare organization registered as a psychiatric residential treatment facility in Bloomington, Indiana and active in the NPI registry since August 2006. The organization lists Becky Nyberg, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417968595
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameBLOOMINGTON MEADOWS GP -
Location Address3600 N PROW RDBloomington, IN 47404-1616
Mailing Address3600 N Prow RdBloomington, IN 47404-1616 · (812) 331-8000 · Fax (812) 331-8985
Fax(812) 331-8985
Organization SubpartNo
Authorized OfficialBecky NybergCfo · (812) 331-8000
Enumeration DateAugust 11, 2006
Last NPPES UpdateJanuary 31, 2011
NPI 1417968595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in IN · 278652298
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
3600 N PROW RD, Bloomington, IN 47404

Other Identifiers 1

Medicaid200457070AIN

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
3600 N PROW RD
BLOOMINGTON, IN 47404
Nurse Practitioner (Psychiatric/Mental Health)
3600 N PROW RD
BLOOMINGTON, IN 47404
Nurse Practitioner (Psychiatric/Mental Health)
3600 N PROW RD
BLOOMINGTON, IN 47404
Nurse Practitioner (Psychiatric/Mental Health)
3600 N PROW RD
BLOOMINGTON, IN 47404
Nurse Practitioner (Psychiatric/Mental Health)
3600 N PROW RD
BLOOMINGTON, IN 47404
Nurse Practitioner (Psychiatric/Mental Health)
3600 N PROW RD
BLOOMINGTON, IN 47404
Nurse Practitioner (Psychiatric/Mental Health)
3600 N PROW RD
BLOOMINGTON, IN 47404
Nurse Practitioner (Psychiatric/Mental Health)
3600 N PROW RD
BLOOMINGTON, IN 47404

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 Bloomington Meadows Gp -'s NPI number?

The NPI number for Bloomington Meadows Gp - is 1417968595. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Bloomington Meadows Gp - located?

Bloomington Meadows Gp - is located at 3600 N Prow Rd, Bloomington, IN 47404. The listed phone number is (812) 331-8000.

What is Bloomington Meadows Gp -'s specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Bloomington Meadows Gp - was last updated on January 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.