SOUTHWEST MENTAL HEALTH LLC - NPI 1497430177 - Psychologist in Fort Wayne, IN

Q: What is Southwest Mental Health LLC's NPI number?

The NPI number for Southwest Mental Health LLC is 1497430177. It was assigned to this organization in the NPPES registry on June 20, 2023. The provider is doing business as Gerard, Coslow & Tiekler-Sharpe Associates.

Q: What is Southwest Mental Health LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Southwest Mental Health Llc NPPES

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

SOUTHWEST MENTAL HEALTH LLC (NPI 1497430177), doing business as Gerard, Coslow & Tiekler-sharpe Associates, is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since June 2023. The organization lists Christine Potter, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1497430177

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSOUTHWEST MENTAL HEALTH LLC

Location Address4656 W JEFFERSON BLVD STE 285Fort Wayne, IN 46804-6838

Mailing Address4656 W Jefferson Blvd Ste 285Fort Wayne, IN 46804-6838

Phone(260) 422-9372

Fax(260) 422-0843

Organization SubpartNo

Authorized OfficialChristine PotterOffice Manager · (260) 422-9372

Enumeration DateJune 20, 2023

NPPES CertifiedJune 20, 2023

✔ NPI 1497430177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

4656 W JEFFERSON BLVD STE 285, Fort Wayne, IN 46804

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Other Names 1

Doing Business AsGerard, Coslow & Tiekler-sharpe Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.Insurance ›

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.

KMR PSYCHIATRIC SERVICES LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))