Organization
ACCENTUS MENTAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SHAKE (CEO)
(317) 474-2150
Entity
Organization
Contact information
Practice address
5128 E STOP 11 RD STE 34, INDIANAPOLIS, IN 46237-6338
(317) 721-4169
(463) 777-5840
Mailing address
5128 E STOP 11 RD STE 34, INDIANAPOLIS, IN 46237-6338
(317) 721-4169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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