Edgewater Health
Edgewater Health is a healthcare organization registered as Community/Behavioral Health Agency in Gary, IN, holding Type 2 (organization) NPI 1477011930 since 2019. The authorized official on file is Pierre Wood, Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477011930 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Edgewater Health |
| Practice address | 1100 W 6TH AVE, Gary, IN, 46402 |
| Phone | 2198854264 |
| Enumeration date | 2019-03-04 |
| Last updated in NPPES | 2019-03-04 |
Authorized official
| Name | Pierre Wood |
|---|---|
| Title | Therapist |
| Phone | 2198854264 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W300-6708-0246 | Other | IL | DRIVER'S LICENSE |
Copy-ready billing details
Provider: Edgewater Health NPI: 1477011930 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 1100 W 6TH AVE, Gary, IN, 46402
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912970229 | Mathew Castelino | Individual | Psychiatry Physician | Gary, IN |
| 1497850663 | Kobie Douglas | Individual | Psychiatry Physician | Gary, IN |
| 1588705784 | Edgewater Systems for Balanced Living, Inc. | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Gary, IN |
| 1447386131 | Pamela Tran | Individual | Psychiatry Physician | Gary, IN |
| 1881722833 | Muhammad Butt | Individual | Psychiatry Physician | Gary, IN |
| 1982735379 | Christina Thomas | Individual | Mental Health Counselor | Gary, IN |
| 1316154917 | Edgewater Systems for Balanced Living, Inc | Organization | Community/Behavioral Health Agency | Gary, IN |
| 1225245822 | Edgewater Systems for Balanced Living, Inc | Organization | Community/Behavioral Health Agency | Gary, IN |
Verify this record
Cross-check NPI 1477011930 against the authoritative CMS record: view Edgewater Health 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
What is the NPI number for Edgewater Health?
Who is the authorized official for Edgewater Health?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-03-04.