BAYSIDE BEHAVIORAL HEALTH IN LLC
NPI 1962240689
Clinic/Center - Rehabilitation, Substance Use Disorder in Indianapolis, IN

Active since July 17, 2024CLIA 15D2318696 · Waiver
5929 LAKESIDE BLVD, INDIANAPOLIS, IN 46278(317) 520-8300 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, Jul 17, 2024 (2 updates tracked since 2024).

About Bayside Behavioral Health In Llc NPPES

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

BAYSIDE BEHAVIORAL HEALTH IN LLC (NPI 1962240689) is a healthcare organization registered as a rehabilitation, substance use disorder in Indianapolis, Indiana and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through February 16, 2027, maintains a secondary practice location in Indianapolis, and lists David Braun, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962240689
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBAYSIDE BEHAVIORAL HEALTH IN LLC
Location Address5929 LAKESIDE BLVDIndianapolis, IN 46278-1996
Mailing Address5929 Lakeside BlvdIndianapolis, IN 46278-1996 · (317) 520-8300
Organization SubpartNo
Authorized OfficialDavid BraunCeo · (347) 263-3607
Enumeration DateJuly 17, 2024
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
NPI 1962240689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
5929 LAKESIDE BLVD, Indianapolis, IN 46278

Secondary Practice Location 1

Location 16402 Corporate Dr Ste 103Indianapolis, IN 46278-2913 · Phone (718) 288-1160

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2318696

Bayside Behavioral Health · Indianapolis, IN
Active · expires Feb 16, 2027
CLIA Number15D2318696
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorElijah Wilder
Laboratory Phone(317) 520-8300
Laboratory LocationBayside Behavioral Health5929 Lakeside Blvd, Indianapolis, IN 46278
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bayside Behavioral Health In LLC's NPI number?

The NPI number for Bayside Behavioral Health In LLC is 1962240689. It was assigned to this organization in the NPPES registry on July 17, 2024.

Where is Bayside Behavioral Health In LLC located?

Bayside Behavioral Health In LLC is located at 5929 Lakeside Blvd, Indianapolis, IN 46278. The listed phone number is (317) 520-8300.

What is Bayside Behavioral Health In LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Bayside Behavioral Health In LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2318696) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayside Behavioral Health In LLC was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.