Park Center, Inc.
Park Center, Inc. is a healthcare organization registered as Community/Behavioral Health Agency in Fort Wayne, IN, holding Type 2 (organization) NPI 1053594663 since 2007. The authorized official on file is Stanton Risser, Acfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053594663 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Park Center, Inc. |
| Practice address | 909 E STATE BLVD, Fort Wayne, IN, 46805 |
| Phone | 2604812700 |
| Fax | 2604812717 |
| Enumeration date | 2007-12-06 |
| Last updated in NPPES | 2024-10-31 |
Authorized official
| Name | Stanton Risser |
|---|---|
| Title | Acfo |
| Phone | 2602669380 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100463190A | Medicaid | IN | — |
| 100463190B | Medicaid | IN | — |
Copy-ready billing details
Provider: Park Center, Inc. NPI: 1053594663 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 909 E STATE BLVD, Fort Wayne, IN, 46805
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689664419 | Richard Horstmeyer | Individual | Family Medicine Physician | Fort Wayne, IN |
| 1396735064 | Vivian Hernandez | Individual | Clinical Psychologist | Fort Wayne, IN |
| 1124019005 | Larry Lambertson | Individual | Psychiatry Physician | Fort Wayne, IN |
| 1396718573 | Syed Mumtaz | Individual | Child & Adolescent Psychiatry Physician | Fort Wayne, IN |
| 1447225479 | Houshmand Rezvani | Individual | Psychiatry Physician | Fort Wayne, IN |
| 1124087036 | Richard Hite | Individual | Clinical Psychologist | Fort Wayne, IN |
| 1801844659 | Russell Whitehead | Individual | Clinical Social Worker | Fort Wayne, IN |
| 1427008804 | Linda Handlin | Individual | Marriage & Family Therapist | Fort Wayne, IN |
Verify this record
Cross-check NPI 1053594663 against the authoritative CMS record: view Park Center, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Park Center, Inc.?
What is the NPI number for Park Center, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-31.