Psychology Associates, P.C.
LBN: Psychology Associates, P.C.
Psychology Associates, P.C. is an health care organization with primary practice located at 314 W Catalpa Dr Suite E, Mishawaka IN 46545-3194. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Psychology Associates, P.C. can be contacted via phone (574) 254-1700, or through Elliott, Gary W. via phone (574) 254-1700.
Contact Information
Primary practice address
314 W Catalpa Dr Suite E
Mishawaka IN 46545-3194
Phone: (574) 254-1700
Fax: (574) 254-2930
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 57000021A | Indiana |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 57000021A | Indiana |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 57000021A | Indiana |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 57000021A | Indiana |
Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 57000021A | Indiana |
Profile Details
NPI number | 1639285232 |
---|---|
LBN Legal business name | Psychology Associates, P.C. |
DBA Doing business as | |
Authorized official | Elliott, Gary W. PH.D. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 23rd, 2006 |
Last updated | Feb 27th, 2013 - about 11 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 | 1639285232 | NPPES |
Indiana | MEDICAID | 100092530A |
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