Provider Demographics
NPI:1104891621
Name:PLAYJOURNEYS, INC.
Entity type:Organization
Organization Name:PLAYJOURNEYS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCANLON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:317-254-5640
Mailing Address - Street 1:5501 E 71ST ST
Mailing Address - Street 2:STE. 7A
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3967
Mailing Address - Country:US
Mailing Address - Phone:317-254-5640
Mailing Address - Fax:317-254-5641
Practice Address - Street 1:5501 E 71ST ST
Practice Address - Street 2:STE. 7A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-3967
Practice Address - Country:US
Practice Address - Phone:317-254-5640
Practice Address - Fax:317-254-5641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003955A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000297185OtherANTHEM BLUE CROSS BLUE SH
IN2099866OtherCIGNA BEHAVIORAL HEALTH