PARK VIEW PSYCHIATRIC SERVICES, PSC

Provider Demographics

• NPI: 1487872636
• Name: PARK VIEW PSYCHIATRIC SERVICES, PSC
• Entity type: Organization
• Organization Name: PARK VIEW PSYCHIATRIC SERVICES, PSC
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - First Name: STEVEN
• Authorized Official - Middle Name: R
• Authorized Official - Last Name: SHELTON
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 812-282-1888
• Mailing Address - Street 1: 510 SPRING STREET
• Mailing Address - City: JEFFERSONVILLE
• Mailing Address - State: IN
• Mailing Address - Zip Code: 47130
• Mailing Address - Country: US
• Mailing Address - Phone: 812-282-1888
• Mailing Address - Fax: 812-285-8392
• Practice Address - Street 1: 510 SPRING STREET
• Practice Address - City: JEFFERSONVILLE
• Practice Address - State: IN
• Practice Address - Zip Code: 47130
• Practice Address - Country: US
• Practice Address - Phone: 812-282-1888
• Practice Address - Fax: 812-285-8392
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2007-04-23
• Last Update Date: 2015-10-14

Provider Licenses

State	License ID	Taxonomies
IN	50003891A	363LP0808X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	5002992	Other	PASSPORT HEALTH PLAN GROUP #
KY	7100113670	Medicaid
KY	K005430	Other	M BLUNK MEDICARE PIN
	000000303817	Other	JAN BRASHEAR'S ANTHEM #
	000000640353	Other	ANTHEM # FOR BILL COLLINS
IN	200977990	Other	K DAVIS MEDICAID NUMBER
KY	78903689	Other	MEDICAID GROUP FOR ARNP
	000000385875	Other	AUDRA SUMMERS ANTHEM #
IN	P00455002	Other	BRASHEAR RR MEDICARE #
	1952304040	Other	JANICE BRASHEAR ARNP NPI
	000000056294	Other	ANTHEM GROUP #
IN	100386460	Other	MEDICAID GROUP
KY	2444451000	Other	PASSPORT ADVANTAGE
	50002994	Other	PASSPORT HEALTH PLAN # FOR JAN BRASHEAR
	50704000	Other	MAGELLAN GROUP
	1255390274	Other	AUDRA SUMMERS NPI #
KY	P00065495	Other	BRASHEAR RR MEDICARE #
KY	0676472	Other	K DAVIS MEDICARE PIN
	50010459	Other	PASSORT HEALTH PLAN # FOR SUMMERS
	1952304040	Other	JANICE BRASHEAR ARNP NPI
KY	K005430	Other	M BLUNK MEDICARE PIN
IN	P00455002	Other	BRASHEAR RR MEDICARE #
IN	CG3623	Medicare PIN
KY	0676471	Medicare PIN
KY	CK2274	Medicare PIN
	50704000	Other	MAGELLAN GROUP
KY	P400017283	Medicare PIN
KY	0676471	Medicare PIN
IN	CG3623	Medicare PIN
KY	P00065495	Other	BRASHEAR RR MEDICARE #
	1720102312	Other	BILL COLLINS ARNP NPI #
KY	6764	Medicare PIN
KY	0676430	Medicare PIN