Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Progressive Psychiatric Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1366386799

Progressive Psychiatric Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, Indiana. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14903 Sandstone Dr
Fort Wayne, IN 46814-8888
Phone: (260) 249-0409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1366386799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Agunanne — Member · (260) 249-0409
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address429 E Dupont Rd # 1064, Fort Wayne, IN 46825-2051

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