NPIMap

Organization Active NPI

Central Psychological Services, LLC

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1154831378
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042987A Issued in IN
Legal business name
CENTRAL PSYCHOLOGICAL SERVICES, LLC
Practice address
6249 S East St Ste I
Indianapolis, IN 46227-2089
Phone
(317) 780-1610
Fax
(317) 780-5755
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Dr. John Cadwallader, PSY.D., LMHC, HSPPNPI 1154599769
Title
President
Phone
(317) 780-1610

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 20042987A IN Primary

Addresses

Primary practice location

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

Mailing address

PO Box 17333
Indianapolis, IN 46217-0333

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1154831378",
    "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "CENTRAL PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "CADWALLADER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-780-1610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LMHC, HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042987A",
            "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 Oct 2, 2017; 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.