COPE BEHAVIORAL CONSULTING PC (COPE BEHAVIORAL CONSULTING PC) - NPI NUMBER 1467498162

Summary

Provider Name: COPE BEHAVIORAL CONSULTING PC (COPE BEHAVIORAL CONSULTING PC)

NPI Number: 1467498162

Clasification: Psychologist (103T00000X)

Address:
4845 GOLDENRAIN COURT
INDIANAPOLIS, IN
ZIP 46237

Phone Number: (317) 440-7992



Detailed Information

COPE BEHAVIORAL CONSULTING PC is a psychologist in Indianapolis, IN. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. The assigned NPI number for this provider is 1467498162 and is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cope Behavioral Consulting Pc.

The provider's business address is:

4845 GOLDENRAIN COURT
INDIANAPOLIS, IN
ZIP 46237-564
Phone: (317) 440-7992
Fax: (317) 791-1939

The provider's authorized official is Jeffrey Scott Speiden .
The authorized official title is Chairman Of The Board and has the following contact phone number (317) 440-7992.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103T00000X Psychologist 20040943A IN Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 167500 MEDICARE ID-TYPE UNSPECIFIED

NPI Record

No. Field Name Field Value
1 NPI 1467498162
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name COPE BEHAVIORAL CONSULTING PC
5 Provider Other Organization Name COPE BEHAVIORAL CONSULTING PC
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 4845 GOLDENRAIN COURT
8 Provider Business Practice Location Address City Name INDIANAPOLIS
9 Provider Business Practice Location Address State Name IN
10 Provider Business Practice Location Address Postal Code 462372564
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 3174407992
13 Provider Business Practice Location Address Fax Number 3177911939
14 Provider Enumeration Date 6/21/2006
15 Last Update Date 7/8/2007
16 Authorized Official Last Name SPEIDEN
17 Authorized Official First Name JEFFREY
18 Authorized Official Middle Name SCOTT
19 Authorized Official Title or Position CHAIRMAN OF THE BOARD
20 Authorized Official Telephone Number 3174407992
21 Healthcare Provider Taxonomy Code 1 103T00000X
22 Provider License Number 1 20040943A
23 Provider License Number State Code 1 IN
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Other Provider Identifier 1 167500
26 Other Provider Identifier Type Code 1 04
27 Authorized Official Name Prefix Text DR.
28 Authorized Official Credential Text PHD HSPP
29 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.