Individual provider Active NPI

Amber Rae Fleming

  • Rehabilitation Psychologist
  • Indianapolis, IN
National Provider Identifier
1043405350
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
20042181A Issued in IN
Practice address
201 Pennsylvania Pkwy
Suite 200
Indianapolis, IN 46280-2301
Phone
(317) 805-5500
NPI assigned
Sep 10, 2007
Last updated
Mar 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X 20042181A IN Primary

Addresses

Primary practice location

201 Pennsylvania Pkwy
Suite 200
Indianapolis, IN 46280-2301

Mailing address

201 Pennsylvania Pkwy
Suite 200
Indianapolis, IN 46280-2301
Phone (317) 805-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000710 IN Practitioner - Clinical Psychologist 5395830426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indiana Polyclinic PCGroup PAC ID 6608016019, 6 clinicians

Practice addresses (Care Compare)

201 Pennsylvania Pkwy
Indianapolis, IN 46280-1393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20042181AINMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Polyclinic PC CurrentSince Mar 11, 2013 Accepting new patients
Meridian Health Group Past Accepting new patients

Locations

12772 Hamilton Crossing Blvd
Carmel, IN 46032
Phone (317) 805-5500

201 Pennsylvania Pkwy
Ste 200
Carmel, IN 46280
Phone (317) 805-5500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1043405350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PENNSYLVANIA PKWY",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802301",
            "telephone_number": "317-805-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PENNSYLVANIA PKWY",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802301",
            "telephone_number": "317-805-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "AMBER",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "IN",
            "license": "20042181A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.