BETH ANN BASTIEN (NPI# 1164864682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164864682 |
| Entity Type | Individual |
| Full Name | BETH ANN BASTIEN |
| Credential | PSYCHOLOGIST |
| Practice Address |
6501 Sunnyside Rd Indianapolis IN 46236-9707 |
| Practice Telephone | 3174238226 |
| Mailing Telephone | 3174238226 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1107273 | IL | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 966410 | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CERTIFICATIONS | 1107273 | 01 |
| IN | ILLINOIS AND INDIANA CERTIFICATIONS | 966410 | 01 |
| Street Address |
6501 SUNNYSIDE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46236-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629451778 | Community Health Network, Inc | Family Medicine | 6501 Sunnyside Rd, Indianapolis, IN 46236-9707 | 2015-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110918 | Renew Hearing, Inc | Hearing Instrument Specialist | 6116 Chadworth Way, Indpls, IN 46236 | 2020-03-26 |
| 1942771290 | Dakenya Shae Mcduffy | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2018-12-16 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1114210721 | Theresa Ann Kennedy Patton | Counselor | 11925 E 65th St Ste 3, Indianapolis, IN 46236 | 2011-05-16 |
| 1114249257 | Kathy Burgoa | Massage Therapist | 7962 Oaklandon Rd Ste 106h, Indianapolis, IN 46236 | 2010-02-16 |
| 1831311307 | Lifetime Dental Care of Indiana, PC | Dentist | 11683 Fox Road, Indianapolis, IN 46236 | 2007-05-03 |
| 1003861287 | Ryan Campbell Jay | Dentist | 12110 Pendleton Pike, Indianapolis, IN 46236 | 2006-05-24 |
| 1639736028 | Jashana Pearl Whiting | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2019-05-21 |
| 1285123356 | Betty D'amico | Social Worker | 6414 Oaklandon Rd, Indianapolis, IN 46236 | 2018-05-04 |
| 1699162131 | Sarah Mcclain | Pediatrics | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236 | 2015-04-22 |
| Find all providers in zip 46236 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273849 | Anahli Mayank Patel | Psychologist | 550 University Blvd Ste 1602, Indianapolis, IN 46202-5149 | 2020-10-20 |
| 1861006587 | Dr Michael Jones Psychological Associates, LLC | Psychologist | 8510 Evergreen Ave Ste 106, Indianapolis, IN 46240-2338 | 2020-09-01 |
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1295205615 | Monumental Behavioral Health Inc | Psychologist | 1201 N Post Rd Ste C, Indianapolis, IN 46219-4246 | 2018-11-28 |
| 1952881070 | Flanner House of Indianapolis, Inc. | Psychologist | 2424 Dr Martin Luther King Jr St Ste 1, Indianapolis, IN 46208-5598 | 2018-08-17 |
| 1538677968 | Joelle Janine Larsen | Psychologist | 10702 Elm Ridge Ct, Indianapolis, IN 46236-9252 | 2018-01-19 |
| 1205363637 | Melissa Cyders | Psychologist | 402 N Blackford St # Ld124, Indianapolis, IN 46202-3217 | 2017-05-16 |
| 1336504968 | Jackie Thomas Jr. | Psychologist | 11330 Narrowleaf Dr, Indianapolis, IN 46235-3594 | 2015-12-26 |
| 1992173918 | Kaleigh Maher | Psychologist | 5121 E 75th St, Indianapolis, IN 46250-2534 | 2015-09-08 |
| 1598165680 | Tiffany Robinson | Psychologist | 1918 N Lasalle St, Indianapolis, IN 46218-4462 | 2014-08-26 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46236 |
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| 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.