| Mid-america Psychological & Counseling Service P.c. | |
|
7725 Broadway Ste A Merrillville IN 46410-4728 | |
| (219) 736-1000 | |
| (219) 736-9699 |
| Full Name | Mid-america Psychological & Counseling Service P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 7725 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Kalyani Gopal (PRESIDENT) |
| Authorized Official Contact | 2197361000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-america Psychological & Counseling Service P.c. 7725 Broadway Ste A Merrillville IN 46410-4728 Ph: (219) 736-1000 | Mid-america Psychological & Counseling Service P.c. 7725 Broadway Ste A Merrillville IN 46410-4728 Ph: (219) 736-1000 |
| NPI Number | 1780888727 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 02/21/2018 |
| Medicare PECOS PAC ID | 7416082086 |
|---|---|
| Medicare Enrollment ID | O20140808001565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780888727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20041200A (Indiana) | Primary |
| Provider Name | Martha M O'danovich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912992819 PECOS PAC ID: 0547294852 Enrollment ID: I20050926000285 |
| Provider Name | Kalyani Gopal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922064351 PECOS PAC ID: 9739212671 Enrollment ID: I20100729000556 |
| Provider Name | Ann M Lafrance |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003045477 PECOS PAC ID: 4385797299 Enrollment ID: I20110225000157 |
| Provider Name | Derrick A Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245517341 PECOS PAC ID: 1153544366 Enrollment ID: I20140515001098 |
Stephen & Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7863 Broadway Ste 115, Merrillville, IN 46410 Phone: 219-613-9050 Fax: 219-794-1226 | |
Lightbulb Learning Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 273 E 68th Ave, Merrillville, IN 46410 Phone: 219-576-2662 | |
Psychological Fitness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6111 Harrison St, Merrillville, IN 46410 Phone: 708-754-8815 Fax: 708-798-1315 | |
Addiction And Behavioral Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7805 Taft St, Suite E, Merrillville, IN 46410 Phone: 219-756-3791 Fax: 219-756-3793 | |
Naughgle Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1465 E 84th Pl, Merrillville, IN 46410 Phone: 219-267-0495 Fax: 219-525-4337 | |
Mmr Consulting, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 E Lincoln Hwy, Merrillville, IN 46410 Phone: 219-940-9466 Fax: 219-940-3429 | |
Indiana Center For Recovery Outpatient Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1578 E 85th Ave, Merrillville, IN 46410 Phone: 561-305-0461 |