Park Center Inc
NPI 1306897004 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Park Center Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Fort Wayne, IN (NPI 1306897004).
Provider details
- NPI number
- 1306897004
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kris Bigelow, Director Enterprise Credentialing &(260) 266-1403
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 419-0-CMHC (IN)
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 1610 Spy Run AveFort Wayne, IN 46805-4033Phone: (260) 432-2502
- 1909 Carew StFort Wayne, IN 46805-4707Phone: (260) 481-2800
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2021-10-29
- Certified
- 2021-10-11
Frequently asked questions
- What is Park Center Inc's NPI number?
- Park Center Inc's National Provider Identifier (NPI) is 1306897004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Center Inc?
- Park Center Inc is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Park Center Inc located?
- Park Center Inc's practice location on file with NPPES is 909 E State Blvd, Fort Wayne, IN 46805-3404.
- What is Park Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Park Center Inc is (260) 481-2700.
- Does Park Center Inc accept Medicare?
- Park Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Park Center Inc?
- The authorized official listed on Park Center Inc's NPPES record is Kris Bigelow, Director Enterprise Credentialing &. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Center Inc's NPI active?
- Yes — Park Center Inc's NPI (1306897004) is active in the NPPES registry as of the last update on 2021-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.