WILLOWGLEN ACADEMY - INDIANA
NPI 1487858411
Clinic/Center - Adolescent and Children Mental Health in Gary, IN

Active since June 13, 2007
308 E 21ST AVE, GARY, IN 46407(219) 886-1320 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Willowglen Academy - Indiana NPPES

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

WILLOWGLEN ACADEMY - INDIANA (NPI 1487858411) is a healthcare organization registered as an adolescent and children mental health in Gary, Indiana and active in the NPI registry since June 2007. The organization lists Dwayne Warren Mueller, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1487858411
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameWILLOWGLEN ACADEMY - INDIANA
Location Address308 E 21ST AVEGary, IN 46407-2618
Mailing Address308 E 21st AveGary, IN 46407-2618 · (219) 886-1320
Organization SubpartNo
Authorized OfficialDwayne Warren MuellerExecutive Director · (219) 886-1320
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1487858411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License Licensed in IN · 53769
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.

308 E 21ST AVE, Gary, IN 46407

Other Providers at the Same Location NPPES 13

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

Social Worker
308 E 21ST AVE
GARY, IN 46407
Residential Treatment Facility, Emotionally Disturbed Children
308 E 21ST AVE
GARY, IN 46407
Social Worker
308 E 21ST AVE
GARY, IN 46407
Residential Treatment Facility, Emotionally Disturbed Children
308 E 21ST AVE
GARY, IN 46407
Licensed Practical Nurse
308 E 21ST AVE
GARY, IN 46407
Psychiatry & Neurology (Psychiatry)
308 E 21ST AVE
GARY, IN 46407
Clinic/Center (Primary Care)
308 E 21ST AVE
GARY, IN 46407
Registered Nurse (Administrator)
308 E 21ST AVE
GARY, IN 46407

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 Willowglen Academy - Indiana's NPI number?

The NPI number for Willowglen Academy - Indiana is 1487858411. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Willowglen Academy - Indiana located?

Willowglen Academy - Indiana is located at 308 E 21st Ave, Gary, IN 46407. The listed phone number is (219) 886-1320.

What is Willowglen Academy - Indiana's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Willowglen Academy - Indiana was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.