Active NPI
Vernon L Little, M.D.
- Psychiatry Physician
- Lafayette, IN
National Provider Identifier
1164512430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01027111A
- Practice address
- 415 N 26TH St
Suite 201
Lafayette, IN 47904-2856 - Phone
- (765) 446-6535
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01027111A | IN | Primary |
Addresses
Primary practice location
415 N 26TH St
Suite 201
Lafayette, IN 47904-2856
Mailing address
415 N 26TH St
Suite 201
Lafayette, IN 47904-2856
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4624390 | Medicaid | MI | |
| 2477234 | Medicaid | OH | |
| 100232010A | Medicaid | IN | |
| 000000-206354 | Other | IN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Oaks Health Inc | Current | Accepting new patients | |
| Valley Oaks Health Inc | Current | Accepting new patients |
Locations
415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535
610 Main St
Lafayette, IN 47901
Phone (765) 423-2638
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1134901135
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, IN
- NPI 1689629990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1164512430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N 26TH ST",
"address_2": "SUITE 201",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N 26TH ST",
"address_2": "SUITE 201",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042856",
"telephone_number": "765-446-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "VERNON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01027111A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4624390",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2477234",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100232010A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000-206354",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.