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Payal J Patel, PSYD

Individual provider Active NPI Clinical Psychologist · Whiting, IN

NPI 1093378085 · NPPES record last updated Aug 28, 2020

Key facts

NPI
1093378085
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
071010004 (IL)
Practice address
2230 Indianapolis Blvd
Whiting, IN 46394-1956
Phone
(219) 659-0333
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
071010004ILMDClinical Psychologist
20043227AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Payal Patel, PSYD LLC Current Accepting new patients
Core - Center of Relational Empowerment, PC Clinical Past Accepting new patients

Locations

2230 Indianapolis Blvd
Whiting, IN 46394
Phone (219) 655-8994

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20043227A IN
Clinical Psychologist 103TC0700X 071010004 IL Yes

Addresses

Primary practice location

2230 Indianapolis Blvd
Whiting, IN 46394-1956

Mailing address

2230 Indianapolis Blvd
Whiting, IN 46394-1956
Phone (847) 454-5179

Other providers in Whiting, IN

All providers in Whiting, IN · Clinical Psychologist in Indiana

Sources for this page

Verify at the official NPI Registry.