DR. DEBRA L. KLICH (NPI# 1528666484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528666484 |
| Entity Type | Individual |
| Full Name | DR. DEBRA L. KLICH |
| Credential | PHD, HSPP |
| Practice Address |
2100 N Main St Ste 304 Crown Point IN 46307-1877 |
| Mailing Address |
Po Box 10299 Fort Wayne IN 46851-0299 |
| Practice Telephone | 5745461900 |
| Practice Fax Number | 5745461999 |
| Mailing Telephone | 5745461900 |
| Mailing Fax Number | 5745461999 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20043408A | IN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
20043408A | IN | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
20043408A | IN | Behavioral Health & Social Service Providers |
| N | 225700000X | Massage Therapist | MT21906913 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2100 N MAIN ST STE 304 |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154308575 | Steven L Posar | Internal Medicine | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2005-12-28 |
| 1811596596 | Maureen R Reel | Social Worker | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-10-22 |
| 1710584834 | Mya Yee Nandar | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-10-01 |
| 1437763018 | Lee Thomas Penn | Psychologist | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-09-01 |
| 1568075836 | Katherine Ann Frazier | Social Worker | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-08-26 |
| 1407474257 | William Lawrence Heard | Psychologist | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-07-08 |
| 1144853664 | Michelle Marie Schierberg | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-02-13 |
| 1417589292 | Whittney Thompson | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-02-10 |
| 1831733252 | Kelly Erin Suchar | Registered Nurse | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2019-10-29 |
| 1295385565 | Barry Larson Parker | Social Worker | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| 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 |
|---|---|---|---|---|
| 1124450598 | Julie Mescall | Psychologist | 1308 N Main St, Crown Point, IN 46307-2719 | 2013-08-07 |
| 1164539854 | Ronald Gayle Ballenger | Psychologist | 9330 Broadway, Crown Point, IN 46307-8602 | 2006-08-25 |
| 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 |
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1881222016 | Ericka Swanson Psyd Inc. | Psychologist | 9305 Calumet Ave Ste A2, Munster, IN 46321-2888 | 2020-04-01 |
| 1184251316 | Pei-yi Lin | Psychologist | 9504 Rachel Dr, Yorktown, IN 47396-9826 | 2020-03-26 |
| 1679109383 | Christina Chico | Psychologist | 1 Park Row St, Michigan City, IN 46360-6597 | 2020-03-14 |
| 1457998007 | Ne Psychological LLC | Psychologist | 6343 Constitution Dr, Fort Wayne, IN 46804-1547 | 2019-12-03 |
| 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 |
| 1528536083 | Rebecca Martinez Reid | Psychologist | 2201 E Woodstock Pl, Bloomington, IN 47401-6180 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on DR. DEBRA L. KLICH.
| 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.