A New Focus Psychological Services, P.C.
Organization Active NPI Clinical Psychologist · Michigan City, IN
NPI 1174897003 · NPPES record last updated Feb 23, 2012
Key facts
- NPI
- 1174897003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 20042249A (IN)
- Legal business name
- A NEW FOCUS PSYCHOLOGICAL SERVICES, P.C.
- Practice address
- 1411 S. Woodland Avenue
Suite B
Michigan City, IN 46360 - Phone
- (219) 879-8580
- NPI assigned
- Feb 23, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Francis Gazarkieiwcz, PSY.D., HSPP
- Title
- Clinical Psychologist / President
- Phone
- (219) 879-8580
Practitioners 2
-
Joseph F Gazarkiewicz, PSY.D
-
Nancy Knight Miller, MSW, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150811005346 | IN | Part B Supplier - Clinic/Group Practice | 8022323625 |
Receives reassigned benefits from 1 practitioner Practice locations: Michigan City, IN |
National Provider Directory
Locations
1401 S Woodland Ave
Ste 5
Michigan City, IN 46360
Phone (219) 879-8580
1411 S Woodland Ave
Ste B
Michigan City, IN 46360
Phone (219) 879-8580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 20042249A | IN | Yes |
Addresses
Primary practice location
1411 S. Woodland Avenue
Suite B
Michigan City, IN 46360
Mailing address
1411 S. Woodland Avenue
Suite B
Michigan City, IN 46360
Phone (219) 879-8580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200958610 | Medicaid | IN |
Other providers in Michigan City, IN
- A & J Rehabilitation Services Inc
- A Willing Hand LLC
- A Willing Hand LLC
- Aah Transport and Travel Services LLC
- Krista Adair
- Taylor Adrian
All providers in Michigan City, IN · Clinical Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.