ALLENDALE ACADEMY LLC – NPI #1356007934
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

ALLENDALE ACADEMY LLC is an AHC clinic located in FORT WAYNE, IN. NPPES has assigned the NPI number 1356007934 to ALLENDALE ACADEMY LLC on November 09, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLENDALE ACADEMY LLC below.

NPI Profile for
ALLENDALE ACADEMY LLC

NPI Number
1356007934
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALLENDALE ACADEMY LLC
Primary location
454 E DUPONT RD
FORT WAYNE, IN 46825-2050
Phone: (239) 888-4910 Fax:
Mailing address
5419 COUNTY ROAD 427
AUBURN, IN 46706-9504
Phone: Fax:
Organization Subpart
No
Authorized Official
ADAM HOCHBERG
OWNER
Phone: (239) 888-4910
Updated
Certification Date
Nov 09, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.