INDIANAPOLIS NEUROBEHAVIORAL HEALTH CENTER LLC (NPI# 1124674908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124674908 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS NEUROBEHAVIORAL HEALTH CENTER LLC |
| Practice Address |
921 E. 86th St. Suite 210 C Indianapolis IN 46240 |
| Mailing Address |
8888 Keystone Crossing Suite 1300 Indianapolis IN 46240 |
| Practice Telephone | 3175812497 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | DR. AMANDA SLONAKER (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3175812497 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
921 E. 86TH ST. SUITE 210 C |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
| 1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
| 1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
| 1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
| 1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
| 1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
| 1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
| 1639312630 | Tonya L Edwards | Specialist | 9190 Priority Way W Dr, Suite 110, Indianapolis, IN 46240 | 2009-04-07 |
| Find all providers in zip 46240 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497273015 | Jana Beth Dykstra | Clinical Neuropsychologist | 355 W 16th Street Goodman Hall, Indianapolis, IN 46202 | 2017-09-04 |
| 1558779355 | Neurobehavioral Consultants, LLC | Clinical Neuropsychologist | 4356 N College Ave, Indianapolis, IN 46205-1932 | 2014-07-24 |
| 1306170626 | Elizabeth Begyn | Clinical Neuropsychologist | 541 Clinical Dr # Cl285, Indianapolis, IN 46202-5233 | 2009-09-21 |
| 1215101696 | Michelle Anne Keiski | Clinical Neuropsychologist | 355 W 16th St Ste 4700, Indianapolis, IN 46202-2285 | 2008-04-17 |
| 1447477088 | Robert Nolan Mckinney | Clinical Neuropsychologist | 2596 N Girls School Rd, Indianapolis, IN 46214-2105 | 2007-04-18 |
| 1003833096 | Raymond W Horn | Clinical Neuropsychologist | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2006-07-16 |
| 1255327748 | Gwen C Sprehn | Clinical Neuropsychologist | Dept of Neurology Indiana University School of Med, 541 Clinical Drive (cl-299), Indianapolis, IN 46202 | 2005-09-21 |
| 1972595684 | Leslie Jay Suga | Clinical Neuropsychologist | 6515 E 82nd St, Suite 210, Indianapolis, IN 46250-1576 | 2005-08-18 |
| 1285639476 | Odie L Bracy IIi | Clinical Neuropsychologist | 6555 Carrollton Ave, Indianapolis, IN 46220-1664 | 2005-06-15 |
| 1811506769 | Midwest Supervision and Evaluation | Clinical Neuropsychologist | 450 E 96th St Ste 500, Indianapolis, IN 46240-3760 | 2020-07-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
Please comment or provide details below to improve the information on INDIANAPOLIS NEUROBEHAVIORAL HEALTH CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.