Provider Demographics
NPI:1104591106
Name:HEALTHY INDIANA PSYCHIATRIC SERVICES
Entity type:Organization
Organization Name:HEALTHY INDIANA PSYCHIATRIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LUSHINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-385-7620
Mailing Address - Street 1:2976 N SCATTERFIELD RD STE 111
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-1586
Mailing Address - Country:US
Mailing Address - Phone:765-664-3878
Mailing Address - Fax:
Practice Address - Street 1:2976 N SCATTERFIELD RD STE 111
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-1586
Practice Address - Country:US
Practice Address - Phone:765-664-3878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Multi-Specialty