Interdisciplinary Diagnostic and Evaluation Center, Inc.
NPI 1093938102 · Developmental Disabilities Clinic/Center · Fort Wayne, IN
Interdisciplinary Diagnostic and Evaluation Center, Inc. is a Developmental Disabilities Clinic/Center organization in Fort Wayne, IN (NPI 1093938102).
Provider details
- NPI number
- 1093938102
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marilyn Nathan, Clinical Director(765) 284-9573
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2008-06-17
Frequently asked questions
- What is Interdisciplinary Diagnostic and Evaluation Center, Inc.'s NPI number?
- Interdisciplinary Diagnostic and Evaluation Center, Inc.'s National Provider Identifier (NPI) is 1093938102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Interdisciplinary Diagnostic and Evaluation Center, Inc.?
- Interdisciplinary Diagnostic and Evaluation Center, Inc. is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Interdisciplinary Diagnostic and Evaluation Center, Inc. located?
- Interdisciplinary Diagnostic and Evaluation Center, Inc.'s practice location on file with NPPES is 3030 Lake Ave, Fort Wayne, IN 46805-5428.
- What is Interdisciplinary Diagnostic and Evaluation Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Interdisciplinary Diagnostic and Evaluation Center, Inc. is (260) 422-2838.
- Who is the authorized official for Interdisciplinary Diagnostic and Evaluation Center, Inc.?
- The authorized official listed on Interdisciplinary Diagnostic and Evaluation Center, Inc.'s NPPES record is Marilyn Nathan, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Interdisciplinary Diagnostic and Evaluation Center, Inc.'s NPI active?
- Yes — Interdisciplinary Diagnostic and Evaluation Center, Inc.'s NPI (1093938102) is active in the NPPES registry as of the last update on 2008-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.