Active NPI
Janet Lydecker, PHD
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1023771052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20044092A
- Practice address
- 1002 Wishard Blvd Ste 4110
Indianapolis, IN 46202-4164 - Phone
- (317) 944-8162
- NPI assigned
- Oct 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3569 | CT | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 3569 | CT | |
| Counseling Psychologist | 103TC1900X | 3569 | CT | |
| Psychologist | 103T00000X | 3569 | CT | |
| Clinical Psychologist | 103TC0700X | 20044092A | IN | Primary |
| Health Service Psychologist | 103TH0100X | 3569 | CT |
Addresses
Primary practice location
1002 Wishard Blvd Ste 4110
Indianapolis, IN 46202-4164
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
15 Hine Pl
New Haven, CT 06511-3915
Phone (781) 775-8626
Other practice location 2
301 Cedar St
New Haven, CT 06519-1638
Phone (203) 737-4299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300135420 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlydecker@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Virginia Commonwealth University, School of Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
250 N Shadeland Ave
Indianapolis, IN 46219-4959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3569 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1023771052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 WISHARD BLVD STE 4110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024164",
"telephone_number": "317-944-8162"
}
],
"practiceLocations": [
{
"address_1": "15 Hine Pl",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065113915",
"country_code": "US",
"telephone_number": "781-775-8626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Cedar St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065191638",
"country_code": "US",
"telephone_number": "203-737-4299",
"fax_number": "203-785-7855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYDECKER",
"first_name": "JANET",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-17",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CT",
"license": "3569",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CT",
"license": "3569",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CT",
"license": "3569",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "3569",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20044092A",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CT",
"license": "3569",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300135420",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlydecker@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1002 Wishard Blvd Ste 4110",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462024164",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.