CLEANSE CLINIC JEFFERSONVILLE LLC
NPI 1942728472
Psychiatry & Neurology - Addiction Psychiatry in New Albany, IN

Active since September 05, 2017
1700 STATE ST, NEW ALBANY, IN 47150(812) 914-7038(812) 748-6035 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2023, Jul 18, 2018 (2 updates tracked since 2018).

About Cleanse Clinic Jeffersonville Llc NPPES

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

CLEANSE CLINIC JEFFERSONVILLE LLC (NPI 1942728472) is a healthcare organization registered as an addiction psychiatry in New Albany, Indiana and active in the NPI registry since September 2017. The organization lists Abdul G Buridi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942728472
Entity TypeOrganization
Primary Taxonomy2084P0802X
Legal Business NameCLEANSE CLINIC JEFFERSONVILLE LLC
Location Address1700 STATE STNew Albany, IN 47150-4916
Mailing Address720 W Broadway Ste 202Louisville, KY 40202-3245 · (502) 561-0943 · Fax (502) 561-0944
Fax(812) 748-6035
Organization SubpartYesParent: Cleanse Clinic Corporation
Authorized OfficialAbdul G BuridiCeo · (502) 773-5088
Enumeration DateSeptember 5, 2017
Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
NPI 1942728472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License Licensed in IN · 1784-0-ASO
Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

1700 STATE ST, New Albany, IN 47150

Other Identifiers 1

Medicaid300008912IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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.

Counselor (Addiction (Substance Use Disorder))
1700 STATE ST
NEW ALBANY, IN 47150
Nurse Practitioner (Family)
1700 STATE ST
NEW ALBANY, IN 47150

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 Cleanse Clinic Jeffersonville LLC's NPI number?

The NPI number for Cleanse Clinic Jeffersonville LLC is 1942728472. It was assigned to this organization in the NPPES registry on September 5, 2017.

Where is Cleanse Clinic Jeffersonville LLC located?

Cleanse Clinic Jeffersonville LLC is located at 1700 State St, New Albany, IN 47150. The listed phone number is (812) 914-7038.

What is Cleanse Clinic Jeffersonville LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

What insurance does Cleanse Clinic Jeffersonville LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Cleanse Clinic Jeffersonville LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleanse Clinic Jeffersonville LLC was last updated on January 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.