| Health Associates Indy | |
|
9240 N Meridian St Ste 320 Indianapolis IN 46260-1822 | |
| (317) 844-7489 | |
| (317) 581-1007 |
| Full Name | Health Associates Indy |
|---|---|
| Speciality | Psychologist |
| Location | 9240 N Meridian St Ste 320, Indianapolis, Indiana |
| Authorized Official Name and Position | Jerad Dalton (MEMBER) |
| Authorized Official Contact | 3178447489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Associates Indy 9240 N Meridian St Ste 320 Indianapolis IN 46260-1822 Ph: (317) 844-7489 | Health Associates Indy 9240 N Meridian St Ste 320 Indianapolis IN 46260-1822 Ph: (317) 844-7489 |
| NPI Number | 1578253233 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Medicare PECOS PAC ID | 4880136845 |
|---|---|
| Medicare Enrollment ID | O20240605001559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578253233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Martin G Groff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861545196 PECOS PAC ID: 7517861768 Enrollment ID: I20031120000579 |
| Provider Name | Ronald Westrate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083644546 PECOS PAC ID: 3274571005 Enrollment ID: I20091027000887 |
| Provider Name | Richard Joseph Grana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972555894 PECOS PAC ID: 0648335794 Enrollment ID: I20100114000131 |
| Provider Name | Edmund Chales Haskins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689666141 PECOS PAC ID: 3779627435 Enrollment ID: I20100218000263 |
| Provider Name | Patricia Murday Couvillion |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154338341 PECOS PAC ID: 8325081243 Enrollment ID: I20110216001086 |
| Provider Name | Jacqueline L Hess |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487700639 PECOS PAC ID: 9739356478 Enrollment ID: I20120119000874 |
| Provider Name | Alfred Charles Dodini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225027881 PECOS PAC ID: 3870829823 Enrollment ID: I20190729001857 |
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