Jasmita Ranchod, LSW
Individual provider Active NPI Clinical Psychologist · Paoli, IN
NPI 1144657883 · NPPES record last updated Aug 2, 2018
Key facts
- NPI
- 1144657883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 99058690A (IN)
- Practice address
- 488 W Hospital Road
Paoli, IN 47454 - Phone
- (812) 723-4301
- Fax
- (812) 723-4306
- NPI assigned
- Sep 26, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99058690A | IN | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 99058690A | IN | Yes |
Addresses
Primary practice location
488 W Hospital Road
Paoli, IN 47454
Mailing address
480 Eversman Drive
Jasper, IN 47547-0769
Phone (812) 482-3020
Other providers in Paoli, IN
- Ryan Kyle Petty
- Kathryn Poole
- Jason Paul Price
- Lynette Price
- Gabriela Amairany Ramirez
- Lolita Ann Reasor-Burton
- Rem Indiana, Inc.
- Rem Indiana, Inc.
- Rem Indiana, Inc.
- Rem Indiana, Inc.
All providers in Paoli, IN · Clinical Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.