MR. DEREK MICHAEL LITTLEJOHN PMHNP-BC NPI 1912676669

NPI Information

  • NPI: 1912676669
  • Provider Name: MR. DEREK MICHAEL LITTLEJOHN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9245 N. MERIDIAN STREET SUITE 300
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (317) 818-9000

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NPI Details

MR. Derek Michael Littlejohn, PMHNP-BC is a psychiatric/mental health nurse practitioner in Indianapolis, IN. MR. Derek Michael Littlejohn, PMHNP-BC NPI is 1912676669. 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:

9245 N. MERIDIAN STREET SUITE 300
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 818-9000
Fax: (317) 818-9009

The NPI 1912676669 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/7/2021 and was last updated on 1/24/2023.

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
1163WP0808XRegistered NursePsychiatric/Mental Health28220461AINDIANANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health71012926AINDIANAYes

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: 3/30/2025

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