Nicole Austgen

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

10275009 Issued in IN

Practice address

8690 Broadway Ste a
Merrillville, IN 46410-7034

Phone

(219) 750-9600

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Superpsyched, LLC

  • Speech-Language Pathologist
  • Merrillville, IN
  • NPI 1447923321
  NPD

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1134817141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E MAIN ST",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561841",
            "telephone_number": "219-688-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 BROADWAY STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107034",
            "telephone_number": "219-750-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTGEN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": "IN",
            "license": "10275009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athletic and Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
• Athletic and Therapeutic Institute of Naperville, LLC
• Rosie Diane Atkinson, NP
• Atlas Home Health Services, Inc.
• Audiology Services Company USA, LLC
• Lauren Elizabeth Avidano, CAA
• Adriana M Avila
• Awakenings Counseling Center Incorporated
• Osama G. Ayad, MD, FACP
• Autumn Ayala

• Developmental Therapist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Developmental Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.