DR. KEITH MAGNUS (NPI# 1629085717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629085717 |
| Entity Type | Individual |
| Full Name | DR. KEITH MAGNUS |
| Credential | PH.D. |
| Practice Address |
10293 N Meridian St Suite 375 Indianapolis IN 46290-1123 |
| Practice Telephone | 3175812288 |
| Practice Fax Number | 3175812295 |
| Mailing Telephone | 3175812288 |
| Mailing Fax Number | 3175812295 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2008-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20041351 | IN | Behavioral Health & Social Service Providers |
| Street Address |
10293 N MERIDIAN ST SUITE 375 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46290-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256795 | Kevin Patrick Dugan | Psychologist | 10293 N Meridian St, Suite 375, Indianapolis, IN 46290-1123 | 2005-09-23 |
| 1982247151 | Pia Shrontz | Counselor | 10293 N Meridian St, Indianapolis, IN 46290-1123 | 2019-10-21 |
| 1407397276 | Capturing Hope Counseling LLC | Community/Behavioral Health | 10293 N Meridian St, Suite 180, Indianapolis, IN 46290-1123 | 2017-03-13 |
| 1194183145 | Mary Katherine Degrella | Social Worker | 10293 N Meridian St, 310, Indianapolis, IN 46290-1123 | 2016-02-05 |
| 1306012729 | Wayne E. Hoye | Clinical Neuropsychologist | 10293 N Meridian St, Suite 375, Indianapolis, IN 46290-1123 | 2008-05-06 |
| 1689859803 | Bonnie Kay Pisano | Psychologist | 10293 N Meridian St, Suite 375, Indianapolis, IN 46290-1123 | 2008-01-07 |
| 1306057427 | Howard Brumbaugh Md PC | Ophthalmology | 10293 N Meridian St, Suite 325, Indianapolis, IN 46290-1123 | 2007-05-24 |
| 1083836449 | Joseph John Fata | Surgery | 10293 N Meridian St, Suite 200, Indianapolis, IN 46290-1123 | 2007-05-03 |
| 1750500740 | Judi Ann Green | Social Worker | 10293 N Meridian St, Indianapolis, IN 46290-1123 | 2007-04-25 |
| 1124176961 | Professional Psychological Services | Psychologist | 10293 N Meridian St, Suite 375, Indianapolis, IN 46290-1123 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821548777 | American Behavioral Counseling | Social Worker | 10386 Spring Highland Dr, Indianapolis, IN 46290 | 2016-10-04 |
| 1518042431 | James Lamar Jones | Psychologist | 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 | 2006-10-26 |
| 1437245917 | Bradley Scott Gunter | Physical Therapy Assistant | 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 | 2006-10-04 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1023534815 | Mitchell James Vansumeren | Psychologist | 10291 N Meridian St Ste 310, Indianapolis, IN 46290 | 2017-08-14 |
| 1801281670 | Elizabeth Tibbs | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290 | 2015-03-30 |
| 1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
| 1528333861 | Edward Mark Shmukler | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-03-20 |
| 1386938272 | Bryce S Lynn | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2011-06-08 |
| 1063610301 | Babar Sultan | Otolaryngology | 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 | 2007-07-09 |
| Find all providers in zip 46290 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1285128850 | Abigail Cole | Psychologist | 6314 Rucker Rd Ste A, Indianapolis, IN 46220-4800 | 2018-06-18 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1720515893 | Josie Gronbach | Psychologist | 50 E 91st St Ste 316, Indianapolis, IN 46240-1556 | 2017-05-18 |
| 1821469891 | Emma Carter | Psychologist | 603 E Washington St Fl 9, Indianapolis, IN 46204 | 2015-10-15 |
| 1316385081 | Megan A Orr | Psychologist | 2001 W 86th St Fl 7, Indianapolis, IN 46260-1902 | 2013-06-04 |
| 1255775490 | Psychservices Indiana LLC | Psychologist | 5924 1/2 Hillside Avenue East Dr, Indianapolis, IN 46220-2414 | 2013-04-18 |
| 1740557206 | Michael Eric O'brien | Psychologist | 5336 Elmwood Ave, Indianapolis, IN 46203-6023 | 2011-11-28 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46290 |
Please comment or provide details below to improve the information on DR. KEITH MAGNUS.
| 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.