Jeffrey Scott Speiden, PH D HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040943A Issued in IN

Practice address

4845 Goldenrain Court
Indianapolis, IN 46237-2564

Phone

(317) 440-7992

Fax

(317) 791-1939

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Indiana University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Cope Behavioral Consulting PC

  • Psychologist
  • Indianapolis, IN
  • NPI 1467498162
  Medicare reassignment NPD Authorized official
• Psychological Laboratories of Indianapolis, PC

  • Psychologist
  • Indianapolis, NE
  • NPI 1295853992
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063454700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 GOLDENRAIN COURT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372564",
            "telephone_number": "317-440-7992",
            "fax_number": "317-791-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 GOLDENRAIN COURT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372564",
            "telephone_number": "317-440-7992",
            "fax_number": "317-791-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIDEN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PH D HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040943A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speedy Labs of Indianapolis LLC
• Jordan Nicole Speedy, PHARMD
• Kristy Lee Speelman, PT
• Duresa Jillane Speer, LPN
• Michael M Spees, D.D.S.
• Cheryl Lynn Speikes, ANP, BC
• Amy Lee Speitel, RBT
• Ashley Genevieve Speitel
• Ida Spells
• Kimberly C Spells, MSED COUNSELING

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.