Provider Demographics
NPI:1043439169
Name:COMMUNITY ADDICTION SERVICES INC.
Entity type:Organization
Organization Name:COMMUNITY ADDICTION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:317-536-7100
Mailing Address - Street 1:1431 N DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2416
Mailing Address - Country:US
Mailing Address - Phone:317-536-7100
Mailing Address - Fax:317-536-7101
Practice Address - Street 1:1431 N. DELAWARE ST.
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:317-536-7100
Practice Address - Fax:317-536-7101
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MENTAL HEALTH AMERICA INDIANA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-25
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87001560A101YA0400X
261QM0801X, 103TA0400X
IN87000319A101YA0400X
IN87001333A101YA0400X
IN20041755A103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200082870Medicaid