JANA BETH DYKSTRA


Address: 355 W 16th Street Goodman Hall, Indianapolis, IN 46202
Phone: (317) 963-7328

JANA BETH DYKSTRA (NPI# 1497273015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497273015
Entity Type Individual
Full Name JANA BETH DYKSTRA
Credential PH.D.
Practice Address 355 W 16th Street Goodman Hall
Indianapolis
IN 46202
Practice Telephone (317) 963-7328
Practice Fax Number 3179637313
Mailing Telephone 3179637328
Mailing Fax Number 3179637313
Enumeration Date 2017-09-04
Last Update Date 2017-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 20043084A IN Behavioral Health & Social Service Providers

Office Location

Street Address 355 W 16TH STREET GOODMAN HALL
City INDIANAPOLIS
State IN
Zip Code 46202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
Find all providers in zip 46202

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1033758040 Comprehensive Neuropsychology of Indiana Clinical Neuropsychologist 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 2019-12-23
Find all providers in INDIANAPOLIS

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City INDIANAPOLIS
Zip Code 46202

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Dataset Information

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.

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