1. Home
  2. Directory
  3. Indiana
  4. Avon
  5. Clinical Nurse Specialist
  6. NPI Profile

WESTSIDE MENTAL HEALTH
NPI 1811358492
Clinical Nurse Specialist - Psychiatric/Mental Health in Avon, IN

Active since March 10, 2016
192 N AVON AVE, SUITE 300, AVON, IN 46123(317) 672-6400(317) 672-6401 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2016, Mar 21, 2016 (2 updates tracked since 2016).

About Westside Mental Health NPPES

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

WESTSIDE MENTAL HEALTH (NPI 1811358492) is a healthcare organization registered as a psychiatric/mental health in Avon, Indiana and active in the NPI registry since March 2016. The organization lists Tammy Jo Coomer Bradford, President, as its authorized official.

NPPES Registry Identity

NPI1811358492
Entity TypeOrganization
Primary Taxonomy364SP0808X
Legal Business NameMENTAL WELLNESS INC
Location Address192 N AVON AVE, SUITE 300Avon, IN 46123-9513
Mailing Address192 N Avon Ave, Suite 300Avon, IN 46123-9513 · (317) 672-6400 · Fax (317) 672-6401
Phone(317) 672-6400
Fax(317) 672-6401
Organization SubpartNo
Authorized OfficialTammy Jo Coomer BradfordPresident · (507) 779-4795
Enumeration DateMarch 10, 2016
Last NPPES UpdateApril 1, 20162 updates tracked since enumeration
✔ NPI 1811358492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License✔ Licensed in IN · 70000195A
192 N AVON AVE, Avon, IN 46123
Open in Google Maps ↗

Other Names 1

Doing Business AsWestside Mental Health

Other Identifiers 2

Other1730265356Provider Npi
Medicaid200285820IN

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 2

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

NLT COUNSELING SERVICE LLC
Community/Behavioral Health
192 N AVON AVE, SUITE 300
AVON, IN 46123
Hendricks County (317) 672-6400
THREE LAKES COUNSELING LLC
Counselor
192 N AVON AVE, STE 300
AVON, IN 46123
Hendricks County (317) 672-6400

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 Mental Wellness Inc's NPI number?

The NPI number for Mental Wellness Inc is 1811358492. It was assigned to this organization in the NPPES registry on March 10, 2016. The provider is doing business as Westside Mental Health.

Where is Mental Wellness Inc located?

Mental Wellness Inc is located at 192 N Avon Ave Suite 300, Avon, IN 46123. The listed phone number is (317) 672-6400.

What is Mental Wellness Inc's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

When was this NPI record last updated?

The NPPES record for Mental Wellness Inc was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.