SOUTHWEST MENTAL HEALTH LLC
NPI 1497430177
Psychologist - Clinical 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.

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.

Active since June 20, 2023

4656 W JEFFERSON BLVD STE 285, FORT WAYNE, IN 46804(260) 422-9372(260) 422-0843 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 31, 2026, Jun 20, 2023 (2 updates tracked since 2023).

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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) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since June 2023. The organization lists Anna Fankhauser, Office, 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 · (260) 422-9372 · Fax (260) 422-0843

Phone(260) 422-9372

Fax(260) 422-0843

Organization SubpartNo

Authorized OfficialAnna FankhauserOffice · (260) 422-9372

Enumeration DateJune 20, 2023

Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration

NPPES CertifiedAugust 31, 2026

✔ 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

Other NameSouthwest Mental Health Llc

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

Other Providers at the Same Location NPPES 12

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))