Individual provider Active NPI

Grace Rewolinski, PSYD, MA, HSPP

  • Psychologist
  • Greenwood, IN
National Provider Identifier
1184555799
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20043866B Issued in IN
Practice address
523 S Madison Ave Unit E211
Greenwood, IN 46142-0686
Phone
(260) 450-9861
NPI assigned
May 25, 2026
Last updated
May 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20043866B IN Primary

Addresses

Primary practice location

523 S Madison Ave Unit E211
Greenwood, IN 46142-0686

Mailing address

523 S Madison Ave Unit E211
Greenwood, IN 46142-0686
Phone (260) 450-9861

Other names 1

  • Dr. Grace Woolsey Former name

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10883 Red Sky Rd
Fishers, IN 46037-7100

3 Willow Ave
Hicksville, NY 11801-4611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
20043866BINMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1184555799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S MADISON AVE UNIT E211",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461420686",
            "telephone_number": "260-450-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S MADISON AVE UNIT E211",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461420686",
            "telephone_number": "260-450-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REWOLINSKI",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PSYD, MA, HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043866B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "WOOLSEY",
            "prefix": "DR.",
            "credential": "PSYD, MA, HSPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.