PARK CENTER INC - NPI 1457772402 - Psychiatric Hospital in Fort Wayne, IN

Q: What is the provider's specialty?

The provider's specialty is Psychiatric Hospital with taxonomy code 283Q00000X.

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About Park Center Inc NPPES

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

PARK CENTER INC (NPI 1457772402) is a healthcare organization registered as a psychiatric hospital in Fort Wayne, Indiana and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Jessica Lee-hansen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457772402

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NamePARK CENTER INC

Location Address1909 CAREW STFort Wayne, IN 46805-4707

Mailing Address909 E State BlvdFort Wayne, IN 46805-3404 · (260) 481-2700 · Fax (260) 481-2709

Phone(260) 481-2809

Fax(260) 481-2709

Organization SubpartNo

Authorized OfficialJessica Lee-hansenCfo · (312) 388-0125

Enumeration DateDecember 18, 2013

Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1457772402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X

1909 CAREW ST, Fort Wayne, IN 46805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 15D2074123

Park Center, Inc Inpatient · Fort Wayne, IN

Active · expires Mar 2, 2028

CLIA Number15D2074123

Laboratory TypeHospital

Certificate Effective DateMarch 3, 2026

Certificate Expiration DateMarch 2, 2028

Laboratory DirectorXiaoying Wan

Laboratory Phone(260) 481-2809

Laboratory LocationPark Center, Inc Inpatient1909 Carew St, Fort Wayne, IN 46805

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Park Center, Inc (CMS certification number 154060), from CMS Care Compare.

Park Center, Inc

Psychiatric · Fort Wayne, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number154060

Location1909 Carew StreetFort Wayne, IN 46805 · Allen County · (260) 481-2700

Other Providers at the Same Location NPPES 11

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

MARY ARNOLD AMI SCHWARTZ

Counselor (Mental Health)