Individual provider Active NPI

Ronald M Westrate, PH.D.

  • Cognitive & Behavioral Psychologist
  • Indianapolis, IN
National Provider Identifier
1083644546
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
20042356A Issued in IN
Practice address
1380E County Line Rd
Indianapolis, IN 46227-0962
Phone
(317) 885-7050
NPI assigned
Jul 3, 2006
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 35SI00157600 NJ
Cognitive & Behavioral Psychologist 103TB0200X 20042356A IN Primary

Addresses

Primary practice location

1380E County Line Rd
Indianapolis, IN 46227-0962

Mailing address

4860 Robb St 201
Wheat Ridge, CO 80033-2162
Phone (303) 278-7418

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
I20091027000887 IN Practitioner - Clinical Psychologist 3274571005 Reassigns benefits to 1 organization
Practice locations: Indianapolis, IN; Westfield, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Associates IndyGroup PAC ID 4880136845, 7 clinicians

Practice addresses (Care Compare)

9240 N Meridian St
Suite 320
Indianapolis, IN 46260-1822
Phone (317) 844-7489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00157600NJMDAdult Development & Aging Psychologist
20042356AINMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Associates Indy CurrentSince Mar 31, 2024 Accepting new patients
Advent Christian Health Associates Past Accepting new patients

Locations

9240 N Meridian St
Ste 320
Indianapolis, IN 46260
Phone (317) 730-1662

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1083644546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 ROBB ST 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332162",
            "telephone_number": "303-278-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380E COUNTY LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270962",
            "telephone_number": "317-885-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTRATE",
        "first_name": "RONALD",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NJ",
            "license": "35SI00157600",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IN",
            "license": "20042356A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.