Psychological Service Associates, Inc
LBN: Psychological Service Associates, Inc
Psychological Service Associates, Inc is an health care organization with primary practice located at 3421 E State Blvd , Fort Wayne IN 46805-4830. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Psychological Service Associates, Inc can be contacted via phone (260) 482-8427, or through Leib, Jere W via phone (260) 482-8427.
Contact Information
Primary practice address
3421 E State Blvd
Fort Wayne IN 46805-4830
Phone: (260) 482-8427
Fax: (260) 482-8429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Indiana | |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | Indiana | |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | Indiana | |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Indiana | |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | Indiana | |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | Indiana | |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | Indiana | |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | Indiana |
Profile Details
| NPI number | 1558441063 |
|---|---|
| LBN Legal business name | Psychological Service Associates, Inc |
| DBA Doing business as | |
| Authorized official | Leib, Jere W PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558441063 | NPPES |
| Indiana | Other | 000000176183 | BCBS GROUP |
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