INDIANA EVALUATION SERVICES (NPI# 1730353434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730353434 |
| Entity Type | Organization |
| Organization Name | INDIANA EVALUATION SERVICES |
| Practice Address |
2633 E Dekist St Bloomington IN 47408-4216 |
| Mailing Address |
2633 Dekist Street Bloomington IN 47408-4216 |
| Practice Telephone | 8123331706 |
| Practice Fax Number | 8123363283 |
| Mailing Telephone | 8123331766 |
| Mailing Fax Number | 8123368232 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | DOROTHY LYNN O'CONNOR (PRESIDENT) |
| Authorized Official Telephone | 8123331706 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
20041846 | IN | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | INDIANA EVALUATION SERVICES, INC. | 4611 Morningside Drive, Bloomington, IN 47408-3165 |
| Street Address |
2633 E DEKIST ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47408-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079398 | Ta-kisha Jones | Health Educator | 309 N. Woodlawn Ave, Bloomington, IN 47408 | 2020-10-06 |
| 1265915904 | Meghan Elizabeth Kinkead | Specialist/Technologist | Simon Skjodt Assembly Hall, 1001 East 17th Street, Bloomington, IN 47408 | 2018-09-10 |
| 1316499395 | Marabai Rose Counseling, LLC | Social Worker | 4568 East State Rd 45, Bloomington, IN 47408 | 2016-10-26 |
| 1295133908 | Eden Embree | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Bloomington, IN 47408 | 2014-12-11 |
| 1588995229 | Create-a-smile PC | Dentist | 219 E. 17th St., Bloomington, IN 47408 | 2010-01-20 |
| 1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
| 1770709917 | Robin A. Roberts | Dentist | 104 E. 19th Street, Bloomington, IN 47408 | 2007-04-17 |
| 1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
| 1114013752 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2727 N Dunn, Bloomington, IN 47408 | 2006-10-04 |
| 1003850322 | Priti V Jindal | Internal Medicine | 2455 N Tamarack Trl, Bloomington, IN 47408 | 2006-06-16 |
| Find all providers in zip 47408 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326212010 | Glenn Michael Merepith | Psychologist | 421 E Allen St, Bloomington, IN 47401 | 2008-04-15 |
| 1336262815 | Julie Renee Morton | Psychologist | 4701 N Robbs Ln, Bloomington, IN 47408-9454 | 2007-04-09 |
| 1407932791 | Richard Paul Lookatch | Psychologist | 700 S Grant St, Bloomington, IN 47401-4733 | 2006-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489321 | Angela Sands | Psychologist | 8148 Devon Ave, Indianapolis, IN 46239-1595 | 2020-02-19 |
| 1134395510 | Interdisciplinary Diagnostic & Evaluation Center, Inc. | Psychologist | 3030 Lake Ave Ste 7, Ft. Wayne, Fort Wayne, IN 46805-5428 | 2008-05-05 |
| 1912177510 | Brenda Stiers Carter | Psychologist | 750 Delray Dr, Indianapolis, IN 46241-1785 | 2008-03-11 |
| 1730357179 | Elise Lillard Ipock | Psychologist | 414 Harrison St, West Lafayette, IN 47906-3516 | 2008-02-19 |
| 1902927700 | Marta Kay Knauer | Psychologist | 2416 N D St, Elwood, IN 46036-1647 | 2007-04-02 |
| 1780746800 | Susanne Jo Bauer | Psychologist | 5155 Little Flock Rd, Spencer, IN 47460-5878 | 2006-12-14 |
| 1487741633 | Soper Consulting, PC | Psychologist | 12999 Parkside Drive, Fishers, IN 46038 | 2006-10-09 |
| 1922041169 | Lynda Gean Sandow | Psychologist | 1949 E South Shore Dr, Morgantown, IN 46160-8615 | 2006-06-14 |
| 1285071464 | Tonia M Kitchel | Psychologist | 2611a Chicago St, Valparaiso, IN 46383-6111 | 2013-05-29 |
| 1063681930 | Transitional Assistance Services, Inc. | Psychologist | 6100 N Keystone Ave, Suite 237, Indianapolis, IN 46220-2452 | 2008-02-26 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47408 |
Please comment or provide details below to improve the information on INDIANA EVALUATION SERVICES.
| 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.