Organization Active NPI

Indiana University Psychiatric Associates, Inc.

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1023063724
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01053884 Issued in IN
Legal business name
INDIANA UNIVERSITY PSYCHIATRIC ASSOCIATES, INC.
Practice address
355 W 16TH St
Indianapolis, IN 46202-2207
Phone
(317) 963-7285
NPI assigned
May 23, 2006
Last updated
Aug 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Mr. Bronson Troyer
Title
Administrator
Phone
(317) 963-7285

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 70000020 IN
Psychologist 103T00000X 20010381 IN
Clinical Psychologist 103TC0700X 34004399 IN
Clinical Child & Adolescent Psychologist 103TC2200X 20042875 IN
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 34000590 IN
Forensic Psychiatry Physician 2084F0202X 20010163 IN
Clinical Neurophysiology Physician 2084N0600X 20041914 IN
Psychiatry Physician 2084P0800X 01053884 IN Primary
Child & Adolescent Psychiatry Physician 2084P0804X 01032989 IN

Addresses

Primary practice location

355 W 16TH St
Indianapolis, IN 46202-2207

Mailing address

7952 Solution Ctr
Chicago, IL 60677-7009
Phone (317) 962-4777

Other identifiers 2

IdentifierTypeStateIssuer
100360970MedicaidIN
201108960MedicaidIN

National Provider Directory

National Provider Directory

Locations

7952 Solution Ctr
Chicago, IL 60677

7952 Solutions Ctr
Chicago, IL 60677

6845 E US Highway 36
Avon, IN 46123
Phone (317) 272-4920

1002 Wishard Blvd
Ste 4110
Indianapolis, IN 46202
Phone (317) 274-6450

1232 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-4022

355 W 16th St
Ste 4800
Indianapolis, IN 46202
Phone (317) 963-7288

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

705 Riley Hospital Dr
Ste 1608
Indianapolis, IN 46202
Phone (317) 944-8162

9650 E Washington St
Indianapolis, IN 46229
Phone (317) 890-5500

Practitioners & affiliated clinicians

Practitioners 94

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.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1023063724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7952 SOLUTION CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606777009",
            "telephone_number": "317-962-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W 16TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022207",
            "telephone_number": "317-963-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY PSYCHIATRIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "TROYER",
        "authorized_official_first_name": "BRONSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-963-7285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "70000020",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20010381",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "34004399",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IN",
            "license": "20042875",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000590",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "IN",
            "license": "20010163",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "IN",
            "license": "20041914",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01053884",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01032989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100360970",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201108960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.