Individual provider Active NPI

John Cadwallader, PSYD, LMHC, HSPP

  • Counselor
  • Indianapolis, IN
National Provider Identifier
1154599769
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6249 S East St Ste I
Indianapolis, IN 46227-2089
Phone
(317) 780-1610
Fax
(317) 780-5755
NPI assigned
Feb 15, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

6249 S East St Ste I
Indianapolis, IN 46227-2089

Mailing address

PO Box 17333
Indianapolis, IN 46217-0333
Phone (317) 780-1610

Other practice location 1

5226 S East St Ste A4
Indianapolis, IN 46227-1982
Phone (317) 780-1610

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Psychological Services, LLC Current Accepting new patients
Beech Tree Consulting and Psychological Services Past Accepting new patients

Locations

6249 S East St
Ste I
Indianapolis, IN 46227
Phone (317) 780-1610

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154599769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17333",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462170333",
            "telephone_number": "317-780-1610",
            "fax_number": "317-780-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 S EAST ST STE I",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272089",
            "telephone_number": "317-780-1610",
            "fax_number": "317-780-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5226 S East St Ste A4",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462271982",
            "country_code": "US",
            "telephone_number": "317-780-1610",
            "fax_number": "317-780-1698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADWALLADER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMHC, HSPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Mar 17, 2018; 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.