Active NPI
David Frederick Strus, PH.D.
- Clinical Psychologist
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20040840A
- Practice address
- 1907 W Sycamore St
Kokomo, IN 46901 - Phone
- (765) 456-5900
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20040840A | IN | |
| Clinical Psychologist | 103TC0700X | 20040840A | IN | Primary |
Addresses
Primary practice location
1907 W Sycamore St
Kokomo, IN 46901
Mailing address
1907 W Sycamore St
Kokomo, IN 46901-5148
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6127954 | Other | IN | UBH ID NUMBER |
| 96612 | Other | IN | CIGNA GM ID NUMBER |
| STRUS-0002 | Other | IN | COMPCARE ID NUMBER |
| 000000343505 | Other | IN | ANTHEM BX/BS ID NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david.strus.2@7598.direct.athenahealth.com | St. Joseph Hospital & Health Center, Inc. |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1907 W Sycamore St
Kokomo, IN 46901-4113
Phone (765) 452-5611
1907 W Sycamore St
Kokomo, IN 46901-5148
Phone (765) 456-5950
Hospital & facility affiliations
- Ascension St Vincent Kokomo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20040840A | IN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital & Health Center, Inc. | Psychologist | Current | Accepting new patients |
| St. Joseph Hospital & Health Center, Inc. | Current | Accepting new patients |
Locations
1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611
Networks
- IL HMO C-SNP
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- IL PPO Downstate
- KY PPO
- KY PPO C-SNP
- OH PPO
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- david.strus.2@7598.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
- Psychiatry Physician
- Kokomo, IN
- NPI 1568799740
Psychologist
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1003910480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 W SYCAMORE ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469015148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 W SYCAMORE ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "46901",
"telephone_number": "765-456-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUS",
"first_name": "DAVID",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20040840A",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20040840A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH ID NUMBER",
"identifier": "6127954",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GM ID NUMBER",
"identifier": "96612",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPCARE ID NUMBER",
"identifier": "STRUS-0002",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BX/BS ID NUMBER",
"identifier": "000000343505",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.strus.2@7598.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "St. Joseph Hospital & Health Center, Inc.",
"address_1": "1907 W Sycamore St",
"city": "Kokomo",
"state": "IN",
"country_code": "US",
"postal_code": "469015148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.