Active NPI
Parker and Associates of Indianapolis, Inc.
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1104996719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20041153A
- Legal business name
- PARKER AND ASSOCIATES OF INDIANAPOLIS, INC.
- Practice address
- 8135 Brent Ave
Indianapolis, IN 46240-2725 - Phone
- (317) 650-1105
- Fax
- (317) 726-0714
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip Scott Parker, PH.D., HSPP
- Title
- President, Ceo
- Phone
- (317) 650-1105
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20041153A | IN | Primary |
Addresses
Primary practice location
8135 Brent Ave
Indianapolis, IN 46240-2725
Mailing address
8135 Brent Ave
Indianapolis, IN 46240-2725
Phone (317) 650-1105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1487662565
-
- Speech-Language Pathologist
- Indianapolis, IN
- NPI 1780474197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104996719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8135 BRENT AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462402725",
"telephone_number": "317-650-1105",
"fax_number": "317-726-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8135 BRENT AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462402725",
"telephone_number": "317-650-1105",
"fax_number": "317-726-0714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKER AND ASSOCIATES OF INDIANAPOLIS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "317-650-1105",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., HSPP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20041153A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.