Stephanie Bagato

Individual provider Active NPI Marriage & Family Therapist · Indianapolis, IN

NPI 1023634508 · NPPES record last updated Jun 22, 2020

Key facts

NPI
1023634508
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
6411 S East St Ste a
Indianapolis, IN 46227-2737
Phone
(317) 780-5750
Fax
(317) 780-5755
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Crain Psychological Specialists, LLC Current
since Apr 28, 2024
Accepting new patients
Beech Tree Consulting and Psychological Services Current
since Nov 21, 2021
Accepting new patients

Locations

6411 S East St
Ste A
Indianapolis, IN 46227
Phone (317) 296-2754

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

6411 S East St Ste a
Indianapolis, IN 46227-2737

Mailing address

6411 S East St Ste a
Indianapolis, IN 46227-2737
Phone (317) 780-5750

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Marriage & Family Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.