Organization
MID-AMERICA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDARTH SINGH (OWNER)
(219) 836-9200
Entity
Organization
Contact information
Practice address
402 WALL ST., STE 23, VALPARAISO, IN 46383-2567
(219) 615-3136
(219) 615-3147
Mailing address
9335 CALUMET AVE., STE D, MUNSTER, IN 46321-4176
(219) 836-9200
(219) 836-4200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/15/2016
Last updated
02/28/2018
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