Michiana Psychological Associates

LBN: Michael L Rupley Phd Pc
Michiana Psychological Associates is an health care organization with primary practice located at 323 West 4Th Street , Mishawaka IN 46544-1913. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Michael L Rupley Phd Pc can be contacted via phone (574) 256-2258, or through Rupley, Michael L via phone (574) 256-2258.

Contact Information

Primary practice address
323 West 4Th Street Mishawaka IN 46544-1913
Fax: (574) 256-2266
Website:
Authorized official contact:
Name: Rupley, Michael L PHD HSPP PC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20010350 Indiana

Profile Details

NPI number 1679741235
LBN Legal business name Michael L Rupley Phd Pc
DBA Doing business as Michiana Psychological Associates
Authorized official Rupley, Michael L PHD HSPP PC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2008
Last updated May 6th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679741235 NPPES
Indiana Other 000000214616 ANTHEM BLUE CROSS
Indiana MEDICAID 100089740 ANTHEM BLUE CROSS
Indiana MEDICAID 100089740A ANTHEM BLUE CROSS

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