HOPE HAVEN PSYCHOLOGICAL RESOURCE, LLC (NPI# 1679858831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679858831 |
| Entity Type | Organization |
| Organization Name | HOPE HAVEN PSYCHOLOGICAL RESOURCE, LLC |
| Practice Address |
5610 Crawfordsville Rd Suite 200 Indianapolis IN 46224-3714 |
| Practice Telephone | 3172414673 |
| Practice Fax Number | 3172410201 |
| Mailing Telephone | 3172414673 |
| Mailing Fax Number | 3172410201 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | TIFFANIE D COATS (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 3172414673 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20042331A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200976490 | 05 | |
| IN | 201059010B | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOPE HAVEN PSYCHOLOGICAL RESOURCE, LLC | 5610 Crawfordsville Rd Ste 200, Indianapolis, IN 46224-3714 |
| Street Address |
5610 CRAWFORDSVILLE RD SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46224-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982706487 | Veronica Kay Needler | Social Worker | 5610 Crawfordsville Rd, Suite 602, Indianapolis, IN 46224-3727 | 2006-09-04 |
| 1235510033 | Amy M. Granger | Counselor | 5610 Crawfordsville Rd, Suite 200, Indianapolis, IN 46224-3714 | 2015-06-17 |
| 1952718686 | Jessica Wild | Counselor | 5610 Crawfordsville Rd, 2201, Indianapolis, IN 46224-3727 | 2014-07-15 |
| 1457765513 | Donna M Maye | Counselor | 5610 Crawfordsville Rd, Suite 200, Indianapolis, IN 46224-3714 | 2014-06-17 |
| 1417298043 | Kenneth Shane Haggard | Acupuncturist | 5610 Crawfordsville Rd, Building 1 Suite 103, Indianapolis, IN 46224-3727 | 2013-03-06 |
| 1013290998 | Ashley Pelton | Student in an Organized Health Care Education/Training Program | 5610 Crawfordsville Rd, Suite 200, Indianapolis, IN 46224-3714 | 2011-09-27 |
| 1801185061 | Serquitto Nycole Golden | Counselor | 5610 Crawfordsville Rd, Suite 200, Indianapolis, IN 46224-3714 | 2011-03-28 |
| 1023314705 | Regeania Brown | Massage Therapist | 5610 Crawfordsville Rd, Suite 1101, Indianapolis, IN 46224-3727 | 2011-01-28 |
| 1205146610 | Joseph W. Smedley | Counselor | 5610 Crawfordsville Rd, Suite 200, Indianapolis, IN 46224-3714 | 2010-10-19 |
| 1831425859 | Kendrick E. Major | Social Worker | 5610 Crawfordsville Rd, Suite 2201, Building #22, Indianapolis, IN 46224-3727 | 2009-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050033 | O&a Homecare Services, LLC | Home Health Aide | 2307 Hermitage Ct Apt 709, Indianapolis, IN 46224 | 2018-07-27 |
| 1760976039 | Felecia Shelby | Home Health | 1850 Foyt Drive Apt D, Indianapolis, IN 46224 | 2018-06-19 |
| 1154832020 | Wendy A Booker | Nurse Practitioner | 1011 Main St Ste 140, Indianapolis, IN 46224 | 2017-10-19 |
| 1720439516 | Adam Kyle Craig | Counselor | 5610 Crawfordsville Rd., Suite 2201, Indianapolis, IN 46224 | 2016-06-23 |
| 1407223506 | Gouri Chitalapudi | Physical Therapist | 819 Auburn Hill Dr Apt C, Indianapolis, IN 46224 | 2015-08-25 |
| 1710266770 | Starr Angeline Song | Contractor | 2819 Embassy Row, 819, Indianapolis, IN 46224 | 2011-08-09 |
| 1699075739 | Accuquest Hearing Centers, LLC | Clinic/Center | 5620 Crawfordsville Road, Suite Q, Speedway, IN 46224 | 2010-10-22 |
| 1659549962 | Guy Elliot Lovell Sr. | Social Worker | 25 Beachway Drive, Suite C, Indianapolis, IN 46224 | 2008-02-20 |
| 1316128614 | Indianapolis Independent Pediatricians, P.C. | Pediatrics | 777 Beachway Drive, Suite 210, Indianapolis, IN 46224 | 2007-11-15 |
| 1568673119 | Speedway Optical | Eyewear Supplier (Equipment, not the service) | 1602 Cunningham Dr, Indianapolis, IN 46224 | 2007-05-25 |
| Find all providers in zip 46224 | ||||
| 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 | 46224 |
Please comment or provide details below to improve the information on HOPE HAVEN PSYCHOLOGICAL RESOURCE, LLC.
| 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.