Jean M Nanos, PSY.D., HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20043103A Issued in IN

Practice address

8124 Calumet Ave
Munster, IN 46321

Phone

(219) 852-8558

Fax

(219) 852-8558

NPI assigned

Mar 5, 2018

Last updated

Aug 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Harvest Therapy Services IncGroup PAC ID 7810232006, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Harvest Therapy Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Munster, IN
  • NPI 1407341787
  Medicare reassignment Care Compare group NPD Authorized official
• Catholic Charities Diocese of Gary Inc

  • Community/Behavioral Health Agency
  • East Chicago, IN
  • NPI 1831416841
  NPD (past)
• Catholic Charities Diocese of Gary Inc

  • Mental Health Counselor
  • Hammond, IN
  • NPI 1922137975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1003318122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3294",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210294",
            "telephone_number": "219-852-8558",
            "fax_number": "219-852-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-852-8558",
            "fax_number": "219-852-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6919 Indianapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463242205",
            "country_code": "US",
            "telephone_number": "219-844-4883",
            "fax_number": "219-844-4885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6919 Indianapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463242205",
            "country_code": "US",
            "telephone_number": "219-844-4883",
            "fax_number": "219-844-4885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANOS",
        "first_name": "JEAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Najamuddin, M.D.
• Agnieszka Najger, PHARMD
• Victoria Nalezny, OTR/L
• Vinod Namana
• Bhavik Nana, PHARMD
• Rachel Lynn Narjes
• Rory Nash, PA
• Yasmen Nash
• National Medical Care, Inc. (Neomedica - Munster)
• Rod James Nault, MD

• Clinical Psychologist in Munster, IN
• Providers in Munster, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.