Simply Divine

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8700133A Issued in IN

Legal business name

SIMPLY DIVINE

Practice address

141 N Shortridge Rd
Indianapolis, IN 46219-8906

Phone

(317) 263-1675

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Michael James, LCAC

Title

Ceo

Phone

(317) 263-1675

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1194172593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N SHORTRIDGE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462198906",
            "telephone_number": "317-263-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N SHORTRIDGE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462198906",
            "telephone_number": "317-263-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY DIVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-263-1675",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCAC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "8700133A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Simpkins, LMHC
• Simple Care Housing Corp
• Simple Meds, LLC
• Simple Meds, LLC
• Simplifed Medical, P.C.
• Simply Moore Home Care LLC
• Simply Serene LLC
• Alexis Simpson
• Chelsea Louann Simpson, MSN, APRN, AGPCNP
• Holly Simpson

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.