Psychological & Family Consultants

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

20041649A Issued in IN

Legal business name

PSYCHOLOGICAL & FAMILY CONSULTANTS

Practice address

926 E Jackson Blvd
Elkhart, IN 46516-4351

Phone

(574) 522-6292

Fax

(574) 522-0481

NPI assigned

Feb 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roseann M Woodka, PH. D.NPI 1760522049

Title

Psychologist

Phone

(574) 522-6292

Specialties & licenses 1

Addresses

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roseann M Woodka, PH.D.

  • Counseling Psychologist
  • Elkhart, IN
  • NPI 1760522049
  NPD (past) Authorized official
• Mary Roxanne Baker, MS, LMHCA, NCC

  • Counselor
  • Elkhart, IN
  • NPI 1811520745
  NPD (past)
• Jamie Gosztola, LSW

  • Social Worker
  • Elkhart, IN
  • NPI 1548763923
  NPD (past)
• Renee P Page, LCSW

  • Clinical Social Worker
  • Elkhart, IN
  • NPI 1558324616
  NPD (past)
• Anthony A Sommer, MS LMHC

  • Mental Health Counselor
  • Elkhart, IN
  • NPI 1740320936
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013055086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164351",
            "telephone_number": "574-522-6292",
            "fax_number": "574-522-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164351",
            "telephone_number": "574-522-6292",
            "fax_number": "574-522-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL & FAMILY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODKA",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "574-522-6292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20041649A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Privia Medical Group Indiana, LLC
• Privia Medical Group Indiana, LLC (Elkhart Family Physicians)
• Nichole Renee Proctor, COTA
• Professional and Convenient Non Emergency Transportation
• Professional Practice Resources, Inc.
• Psychological & Family Consultants, Inc
• Austin Wade Pulliam, M.D.
• Sheryl D. Purcell, RD,CD
• Brandi Purvis, RBT
• Kelly R. Puster, M.D.

• Counseling Psychologist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.