Indiana Center For Cognitive Behavior Therapy is a Health Service - Psychology Clinic in Ft. Wayne, Indiana. It is located at 423 Airport N. Office Park, Ft. Wayne, IN and its contact number is 260-969-5583. The authorized person for Indiana Center For Cognitive Behavior Therapy is Sharon E Freeman Clevenger
who is Owner of the clinic and his/her contact number is 260-969-5583. The primary license number for Indiana Center For Cognitive Behavior Therapy is 70000153A (Prescribing (Medical)) in Indiana. Indiana Center For Cognitive Behavior Therapy Clinic is certified/licensed at the independent practice level in his/her state, and is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Complete Clinic Profile:
Indiana Center For Cognitive Behavior Therapy Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Indiana Center For Cognitive Behavior Therapy
Specialization:
Health Service Psychology
Clinic Address:
423 Airport N. Office Park, Ft. Wayne, Indiana, 46825-6704
Phone:
260-969-5583
Fax:
260-969-5584
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Sharon E Freeman Clevenger
Position:
Owner
Contact Number:
260-969-5583
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Indiana Center For Cognitive Behavior Therapy clinic are as mentioned below.
NPI Number:
1285839480
NPI Enumeration Date:
18 Jun, 2007
NPI Last Update On:
23 Apr, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Indiana Center For Cognitive Behavior Therapy are as mentioned below.
Specialization
License Number
State
Status
Prescribing (Medical)
70000153A
Indiana
Primary
Health Service
20042050A
Indiana
Secondary
Marriage & Family Therapist
35001565A
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7585825
Other
Indiana
Aetna
376137
Other
Indiana
Anthem
386107
Other
Indiana
Anthem
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Indiana Center For Cognitive Behavior Therapy 423 Airport N. Office Park, Fort. Wayne, Indiana
Zip:
46825-6704
Phone Number:
260-969-5583
Fax Number:
260-969-5584
Patients can reach Indiana Center For Cognitive Behavior Therapy at 423 Airport N. Office Park, Ft. Wayne, Indiana or can call to book an appointment on 260-969-5583. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.