Organization Active NPI

Center for Psychological Development, PC

  • Psychologist
  • Muncie, IN
National Provider Identifier
1003986795
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CENTER FOR PSYCHOLOGICAL DEVELOPMENT, PC
Practice address
526 N Martin Ave
Muncie, IN 47303-3537
Phone
(765) 287-1922
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Tammy L Lampke
Title
Billing
Phone
(765) 287-1922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

526 N Martin Ave
Muncie, IN 47303-3537

Mailing address

526 N Martin Ave
Muncie, IN 47303-3537
Phone (765) 287-1922

Other identifiers 1

IdentifierTypeStateIssuer
200240750AMedicaidIN

National Provider Directory

National Provider Directory

Locations

2205 N Wheeling Ave
Muncie, IN 47303
Phone (765) 284-0043

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1003986795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 N MARTIN AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033537",
            "telephone_number": "765-287-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 N MARTIN AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033537",
            "telephone_number": "765-287-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL DEVELOPMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "LAMPKE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "765-287-1922"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200240750A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.