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:
Map and Directions
Authorized official contact:
Name: Elliott, Gary W. PH.D.
Phone: (574) 254-1700

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639285232 NPPES
Indiana MEDICAID 100092530A

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