NPI Details
Poonam Ishanpara, PSY.D. is a psychologist in Avon, IN with 12 years of experience. 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. Poonam Ishanpara, PSY.D. NPI is 1245629096. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2013
The provider's business location address is:
6845 E US HIGHWAY 36 STE 500
AVON, IN
ZIP 46123-781
Phone: (813) 289-6597
Fax: (813) 289-6592
The NPI 1245629096 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
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.
- Psychotherapy, 30 minutes (HCPCS:90832)
- Psychotherapy, 30 minutes (HCPCS:90832)
- Psychiatric diagnostic evaluation (HCPCS:90791)
The enumeration date for this NPI number is 1/16/2015 and was last updated on 11/3/2024.
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 |
| 1 | 103T00000X | Psychologist | | | | No |
| 2 | 103T00000X | Psychologist | | PY9504 | FLORIDA | No |
| 3 | 103TA0700X | Psychologist | Adult Development & Aging | 20042843A | INDIANA | No |
| 4 | 103TC0700X | Psychologist | Clinical | 20042843A | INDIANA | No |
| 5 | 103T00000X | Psychologist | | 20042843A | INDIANA | Yes |
