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COMMUNITY PSYCHOLOGICAL CONSULTANTS NPI 1619184678


NPI Information

NPI: 1619184678
Provider Name: COMMUNITY PSYCHOLOGICAL CONSULTANTS
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
201 W 103RD ST
SUITE 280
INDIANAPOLIS, IN
ZIP 46290
Phone: (317) 574-1785
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COMMUNITY PSYCHOLOGICAL CONSULTANTS is a clinical psychologist in Indianapolis, IN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. COMMUNITY PSYCHOLOGICAL CONSULTANTS NPI is 1619184678. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 W 103RD ST
SUITE 280
INDIANAPOLIS, IN
ZIP 46290-087
Phone: (317) 574-1785
Fax: (317) 574-1786

The provider's authorized official is Mary L Sanders .
The authorized official title is Partner and has the following contact phone number (317) 574-1785.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11326068495MEDICARE NSCINDIANA
2200051950AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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