PSYCHOLOGY ASSOCIATES, P.C. (NPI# 1639285232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639285232 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGY ASSOCIATES, P.C. |
| Practice Address |
314 W Catalpa Dr Suite E Mishawaka IN 46545-3194 |
| Practice Telephone | 5742541700 |
| Practice Fax Number | 5742542930 |
| Mailing Telephone | 5742541700 |
| Mailing Fax Number | 5742542930 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-02-27 |
| Authorized Official Name | DR. GARY W. ELLIOTT (PRESIDENT) |
| Authorized Official Telephone | 5742541700 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
57000021A | IN | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
57000021A | IN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 57000021A | IN | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
57000021A | IN | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 57000021A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100092530A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | PSYCHOLOGY ASSOCIATES, P.C. | 314 W. Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 |
| Street Address |
314 W CATALPA DR SUITE E |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184651499 | Allied Family Medicine | Family Medicine | 314 W Catalpa Dr, Suite A, Mishawaka, IN 46545-3194 | 2006-06-26 |
| 1487924171 | Chad Robert Edwards | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2012-01-11 |
| 1548472863 | William Henry Youngs | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2007-05-07 |
| 1588777353 | Julie Marie Pelletier | Psychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2006-08-16 |
| 1427068030 | Bradford John Eaton | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| 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 |
|---|---|---|---|---|
| 1871660035 | Paul Warren Macellari | Clinical Neuropsychologist | 135 Red Coach Dr, Mishawaka, IN 46545-3145 | 2006-11-30 |
| 1518956648 | Gary W. Elliott | Clinical Neuropsychologist | 314 W Catalpa, Suite E, Mishawaka, IN 46545 | 2005-10-20 |
| 1750862959 | Michiana Neuroscience, LLC | Clinical Neuropsychologist | 210 S Race St, Mishawaka, IN 46544-2032 | 2018-08-24 |
| 1649624735 | Michael Richard Mitcheff | Clinical Neuropsychologist | 210 S Race St, Mishawaka, IN 46544-2032 | 2016-04-15 |
| 1285013474 | Paul W Macellari Phd PC | Clinical Neuropsychologist | 135 Red Coach Dr, Mishawaka, IN 46545-3145 | 2015-05-21 |
| 1487924171 | Chad Robert Edwards | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2012-01-11 |
| 1548472863 | William Henry Youngs | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2007-05-07 |
| 1427068030 | Bradford John Eaton | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2006-08-08 |
| 1295789980 | Patrick T Casey | Clinical Neuropsychologist | 314 W Catalpa, Suite E, Mishawaka, IN 46545 | 2006-05-19 |
| 1043214679 | Jan E Warner | Clinical Neuropsychologist | 230 E Day Rd, #160, Mishawaka, IN 46545-3463 | 2005-06-10 |
| Find all providers in MISHAWAKA | ||||
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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.