Jay Bastian LLC
NPI 1740780204 · Clinical Social Worker · Fort Wayne, IN
Jay Bastian LLC is a Clinical Social Worker organization in Fort Wayne, IN (NPI 1740780204).
Provider details
- NPI number
- 1740780204
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jay Bastian, Psychotherapist(260) 418-9653
- License
- 34007970A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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 (1)
- 5420 Sherington RdFort Wayne, IN 46814-7510Phone: (260) 418-9653
Registry dates
- Enumerated
- 2018-02-20
- Last updated
- 2024-10-26
- Certified
- 2024-10-26
Frequently asked questions
- What is Jay Bastian LLC's NPI number?
- Jay Bastian LLC's National Provider Identifier (NPI) is 1740780204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jay Bastian LLC?
- Jay Bastian LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jay Bastian LLC located?
- Jay Bastian LLC's practice location on file with NPPES is 9329 Illinois Rd, Fort Wayne, IN 46804-5796.
- What is Jay Bastian LLC's phone number?
- The practice phone number listed in the NPPES registry for Jay Bastian LLC is (260) 418-9653.
- Who is the authorized official for Jay Bastian LLC?
- The authorized official listed on Jay Bastian LLC's NPPES record is Jay Bastian, Psychotherapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jay Bastian LLC's NPI active?
- Yes — Jay Bastian LLC's NPI (1740780204) is active in the NPPES registry as of the last update on 2024-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.