DR. BRYAN DAVID LONDON


Address: 6470 N Shadeland, Suite C, Indianapolis, IN 46220
Phone: 3178499509

DR. BRYAN DAVID LONDON (NPI# 1851406417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851406417
Entity Type Individual
Full Name DR. BRYAN DAVID LONDON
Credential EPP HSPP
Practice Address 6470 N Shadeland
Suite C
Indianapolis
IN 46220
Practice Telephone 3178499509
Practice Fax Number 3178411157
Mailing Telephone 3178499509
Mailing Fax Number 3178411157
Enumeration Date 2006-08-21
Last Update Date 2019-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 20040817A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 300006305 05
IN 20000972B 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1834 Fields Blvd, Greenfield, IN 461403029 3175275437

Office Location

Street Address 6470 N SHADELAND
SUITE C
City INDIANAPOLIS
State IN
Zip Code 46220

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

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Competitor

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City INDIANAPOLIS
Zip Code 46220

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Dataset Information

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.

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