Individual provider Active NPI

Carl Stanley Hale, PSY.D., H.S.P.P.

  • Clinical Child & Adolescent Psychologist
  • Merrillville, IN
National Provider Identifier
1104944669
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
20041241A Issued in IN
Practice address
285 W 80TH PL
Federal Park Suite 2-1
Merrillville, IN 46410-5431
Phone
(219) 769-7233
Fax
(219) 769-7235
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 20041241A IN
Clinical Psychologist 103TC0700X 20041241A IN
Clinical Child & Adolescent Psychologist 103TC2200X 20041241A IN Primary

Addresses

Primary practice location

285 W 80TH PL
Federal Park Suite 2-1
Merrillville, IN 46410-5431

Mailing address

285 W. 80TH Place
Federal Park Suite 2-1
Merrillville, IN 46410
Phone (219) 769-7233

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20041241AINMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104944669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W. 80TH PLACE",
            "address_2": "FEDERAL PARK SUITE 2-1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-769-7233",
            "fax_number": "219-769-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W 80TH PL",
            "address_2": "FEDERAL PARK SUITE 2-1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105431",
            "telephone_number": "219-769-7233",
            "fax_number": "219-769-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "CARL",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D., H.S.P.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20041241A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041241A",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IN",
            "license": "20041241A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.