DR. CORBY ALAN BUBP PH.D. NPI 1134136229

NPI Information

  • NPI: 1134136229
  • Provider Name: DR. CORBY ALAN BUBP, PH.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10293 N MERIDIAN ST
    INDIANAPOLIS, IN
    ZIP 46290
  • Phone: (317) 581-2288

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NPI Details

DR. Corby Alan Bubp, PH.D. is a clinical neuropsychologist in Indianapolis, IN. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Corby Alan Bubp, PH.D. NPI is 1134136229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10293 N MERIDIAN ST
INDIANAPOLIS, IN
ZIP 46290-123
Phone: (317) 581-2288
Fax: (317) 581-2295

The NPI 1134136229 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of psychological or neuropsychological test by technician, each additional 30 minutes (HCPCS:96139)
  • Administration of psychological or neuropsychological test, each additional 30 minutes (HCPCS:96137)
  • Evaluation of neuropsychological test, each additional hour (HCPCS:96133)
  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Evaluation of neuropsychological test, first hour (HCPCS:96132)
  • Administration of psychological or neuropsychological test, first 30 minutes (HCPCS:96136)
  • Administration of psychological or neuropsychological test by technician, first 30 minutes (HCPCS:96138)
  • Psychotherapy, 1 hour (HCPCS:90837)

The enumeration date for this NPI number is 8/2/2006 and was last updated on 12/9/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist20042024INDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200504340MEDICAIDINDIANA

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: 11/21/2025

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