Individual provider Active NPI

Ashleigh Charlene Kappos Woods, PSYD, HSPP

  • Clinical Psychologist
  • Avon, IN
National Provider Identifier
1104132513
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042605A Issued in IN
Practice address
6655 E US Highway 36
Avon, IN 46123-8923
Phone
(888) 714-1927
Fax
(317) 272-0807
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20042605A IN
Clinical Psychologist 103TC0700X 20042605A IN Primary

Addresses

Primary practice location

6655 E US Highway 36
Avon, IN 46123-8923

Mailing address

5101 E US Highway 36 Ste 100
Avon, IN 46123-6646
Phone (888) 714-1927

Other practice location 1

6544 Ferguson St
Indianapolis, IN 46220-1178
Phone (812) 550-2760

Other names 1

  • Ashleigh Charlene Kappos Former name

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
I20131118000425 IN Practitioner - Clinical Psychologist 0345476529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20042605AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Woods Psychological Services Psychologist Current Accepting new patients
Cummins Behavioral Health Systems, Incorporated CurrentSince Oct 2, 2017 Accepting new patients
Major Hospital Past Accepting new patients

Locations

6655 E US Highway 36
Avon, IN 46123
Phone (317) 272-3330

5101 E US Highway 36
Ste 100
Avon, IN 46123
Phone (317) 745-9555

6544 Ferguson St
Indianapolis, IN 46220
Phone (317) 528-9110

5638 Professional Cir
Indianapolis, IN 46241
Phone (317) 247-8900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104132513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 E US HIGHWAY 36 STE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236646",
            "telephone_number": "888-714-1927",
            "fax_number": "317-745-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238923",
            "telephone_number": "888-714-1927",
            "fax_number": "317-272-0807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6544 Ferguson St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462201178",
            "country_code": "US",
            "telephone_number": "812-550-2760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ASHLEIGH",
        "middle_name": "CHARLENE KAPPOS",
        "name_prefix": "Dr.",
        "credential": "PSYD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042605A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042605A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "KAPPOS",
            "middle_name": "CHARLENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.