Individual provider Active NPI

David Frederick Strus, PH.D.

  • Clinical Psychologist
  • Kokomo, IN
National Provider Identifier
1003910480
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040840A Issued in IN
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

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6127954OtherINUBH ID NUMBER
96612OtherINCIGNA GM ID NUMBER
STRUS-0002OtherINCOMPCARE ID NUMBER
000000343505OtherINANTHEM BX/BS ID NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090424000254 IN Practitioner - Clinical Psychologist 0749338044 Reassigns benefits to 1 organization

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
St. Joseph Hospital and Health Center, Inc.Group PAC ID 1153318720, 19 clinicians

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 Hospital, Kokomo, IN, CCN 150010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040840AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Hospital & Health Center, Inc. Psychologist CurrentSince Mar 2, 2009 Accepting new patients
St. Joseph Hospital & Health Center, Inc. CurrentSince Mar 2, 2009 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.