Active NPI
Lindsey Wixson
- School Psychologist
- Carmel, IN
National Provider Identifier
1154807360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2260367
- Practice address
- 15440 Mystic Rock Dr
Carmel, IN 46033-8146 - Phone
- (847) 636-1209
- NPI assigned
- Jul 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2260367 | IL | Primary |
Addresses
Primary practice location
15440 Mystic Rock Dr
Carmel, IN 46033-8146
Mailing address
15440 Mystic Rock Dr
Carmel, IN 46033-8146
Phone (847) 636-1209
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2260367 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1154807360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15440 MYSTIC ROCK DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460338146",
"telephone_number": "847-636-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15440 MYSTIC ROCK DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460338146",
"telephone_number": "847-636-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIXSON",
"first_name": "LINDSEY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "2260367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.