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

Michael Maddox, MENTALHEALTHTECH

Individual provider Medical Physician Assistant · NPI 1568768158

Michael Maddox, MENTALHEALTHTECH is a Medical Physician Assistant in East Chicago, Indiana. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

3903 Indianapolis Blvd
East Chicago, IN 46312-2555
Phone: (219) 473-1350
Fax: (219) 392-6998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1568768158
Entity typeIndividual (Type 1)
GenderMale
Credentials MENTALHEALTHTECH
Sole proprietorYes
NPI enumeratedJanuary 31, 2011
Last updated in NPPESJanuary 31, 2011

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