| Baume Psychological Services, P.c. | |
|
12337 Hancock St Suite 20 Carmel IN 46032-5803 | |
| (317) 706-6744 | |
| (317) 706-6700 |
| Full Name | Baume Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 12337 Hancock St, Carmel, Indiana |
| Authorized Official Name and Position | Derek Jay Baume (PRESIDENT, BAUME PSYCHOLOGICAL SERV) |
| Authorized Official Contact | 3177066744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baume Psychological Services, P.c. 12337 Hancock St Suite 20 Carmel IN 46032-5803 Ph: (317) 706-6744 | Baume Psychological Services, P.c. 12337 Hancock St Suite 20 Carmel IN 46032-5803 Ph: (317) 706-6744 |
| NPI Number | 1811246507 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 01/05/2017 |
| Medicare PECOS PAC ID | 2466699822 |
|---|---|
| Medicare Enrollment ID | O20130503000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811246507 | NPI | - | NPPES |
| 201178980A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042084A (Indiana) | Primary |
| Provider Name | Sarah Dross-gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598980468 PECOS PAC ID: 5294820601 Enrollment ID: I20071001000264 |
| Provider Name | Samantha C Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376610006 PECOS PAC ID: 2769548742 Enrollment ID: I20101118000100 |
| Provider Name | Derek J Baume |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669539722 PECOS PAC ID: 3375780737 Enrollment ID: I20130503000076 |
| Provider Name | Deborah A Randazzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750504205 PECOS PAC ID: 5890929533 Enrollment ID: I20131011000048 |
| Provider Name | Katherine D Danley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841498854 PECOS PAC ID: 3274779996 Enrollment ID: I20160428002074 |
| Provider Name | Christine L. Gillies |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043369176 PECOS PAC ID: 8022362730 Enrollment ID: I20181115002785 |
| Provider Name | Caroline Ann Kiszka Brosmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942581764 PECOS PAC ID: 1850706094 Enrollment ID: I20210219001755 |
| Provider Name | Courtney Sebo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801522099 PECOS PAC ID: 5193101392 Enrollment ID: I20220926001037 |
| Provider Name | Lisa H Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013096643 PECOS PAC ID: 0749639292 Enrollment ID: I20231211000425 |
| Provider Name | Randal Dewell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558512491 PECOS PAC ID: 0840649752 Enrollment ID: I20231218000344 |
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