| Auxilium Psychological Services, Llc | |
|
3103 Blackiston Mill Rd New Albany IN 47150-9536 | |
| (812) 590-7160 | |
| (812) 590-7160 |
| Full Name | Auxilium Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3103 Blackiston Mill Rd, New Albany, Indiana |
| Authorized Official Name and Position | Erin A Jenkins Baker (LICESNED PSYCHOLOGIST, CO-OWNER) |
| Authorized Official Contact | 8125907160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Auxilium Psychological Services, Llc 3103 Blackiston Mill Rd New Albany IN 47150-9536 Ph: (812) 590-7160 | Auxilium Psychological Services, Llc 3103 Blackiston Mill Rd New Albany IN 47150-9536 Ph: (812) 590-7160 |
| NPI Number | 1649787565 |
|---|---|
| Provider Enumeration Date | 12/30/2017 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Medicare PECOS PAC ID | 4082057823 |
|---|---|
| Medicare Enrollment ID | O20240208000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649787565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kathryn Smeraglia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669010468 PECOS PAC ID: 3173966009 Enrollment ID: I20240208000514 |
| Provider Name | Regina Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811528565 PECOS PAC ID: 3072956903 Enrollment ID: I20240208000555 |
| Provider Name | Ryan B Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699975417 PECOS PAC ID: 6901960186 Enrollment ID: I20240228004152 |
| Provider Name | Erin Jenkins Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124200340 PECOS PAC ID: 6901985654 Enrollment ID: I20240311001537 |
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