Individual provider Active NPI

Ericka Wills

  • School Psychologist
  • Hammond, IN
National Provider Identifier
1174346035
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
10136873 Issued in IN
Practice address
5926 Calumet Ave
Hammond, IN 46320-2505
Phone
(219) 933-2442
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 10136873 IN Primary
School Psychologist 103TS0200X

Addresses

Primary practice location

5926 Calumet Ave
Hammond, IN 46320-2505

Mailing address

5926 Calumet Ave
Hammond, IN 46320-2505
Phone (219) 933-2442

Other practice location 1

5926 Calumet Ave
Hammond, IN 46320-2505
Phone (219) 933-2442 ext. 1612

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

LicenseStateTypeSpecialty
10136873INMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1174346035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5926 CALUMET AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202505",
            "telephone_number": "219-933-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5926 CALUMET AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202505",
            "telephone_number": "219-933-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5926 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463202505",
            "country_code": "US",
            "telephone_number": "219-933-2442 x1612",
            "fax_number": "219-554-4572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLS",
        "first_name": "ERICKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10136873",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.