Organization · Type 2 NPI

Southwest Mental Health LLC

Clinical Psychologist · Fort Wayne, IN

NPI number 1497430177 Active

Practice location

4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6838

Fax (260) 422-0843

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Psychologist Primary 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1497430177

Southwest Mental Health LLC's National Provider Identifier is 1497430177, issued on Jun 20, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 31, 2026.