Active NPI
Earle Clifton Titus, PHD
- Clinical Psychologist
- Michigan City, IN
National Provider Identifier
1063483758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20040969A
- Practice address
- 450 Saint John Rd
Michigan City, IN 46360-7354 - Phone
- (219) 879-4621
- Fax
- (219) 873-2388
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20040969A | IN | Primary |
Addresses
Primary practice location
450 Saint John Rd
Michigan City, IN 46360-7354
Mailing address
450 Saint John Rd
Michigan City, IN 46360-7354
Phone (219) 879-4621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20040969A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063483758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 SAINT JOHN RD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607354",
"telephone_number": "219-879-4621",
"fax_number": "219-873-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SAINT JOHN RD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607354",
"telephone_number": "219-879-4621",
"fax_number": "219-873-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITUS",
"first_name": "EARLE",
"middle_name": "CLIFTON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20040969A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.