OrganizationActive
Family and Children Behavioral Health PC
NPI 1447391495 · Adolescent and Children Mental Health Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1447391495
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Syed Mumtaz, President(260) 436-0950
- License
- 50004594A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801XLicense 50004594A (IN)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
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
4656 W Jefferson Blvd
Ste. 135
Fort Wayne, IN 46804-6857
Phone: (260) 436-0959
Fax: (260) 436-0893
Street-level locationGet directions
Mailing address
4656 W Jefferson Blvd
Fort Wayne, IN 46804-6857
Registry dates
- Enumerated
- 2007-02-11
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.