NPIMap

Organization Active NPI

Damar Services Inc

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1194560805
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DAMAR SERVICES INC
Practice address
5125 Decatur Blvd
Indianapolis, IN 46241-9570
Phone
(317) 813-4690
NPI assigned
Jun 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Jim L. Dalton
Title
Cfo
Phone
(317) 281-4545

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

5125 Decatur Blvd
Indianapolis, IN 46241-9570

Mailing address

6067 Decatur Blvd
Indianapolis, IN 46241-9606
Phone (317) 903-9023

Other practice location 1

7105 Galen Dr W
Avon, IN 46123-8450
Phone (317) 813-4690

Other practice location 2

9905 Fall Creek Rd
Indianapolis, IN 46256-4804
Phone (317) 813-4690

Other practice location 3

6067 Decatur Blvd
Indianapolis, IN 46241-9606
Phone (317) 813-4690

Other practice location 4

4840 Grasselli St
East Chicago, IN 46312-3503
Phone (317) 856-5201

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2317507Damar Services, Inc4840 Grasselli St, East Chicago, IN 46312Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Damar Services Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7105 Galen Dr W
Avon, IN 46123
Phone (317) 373-1369

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1194560805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6067 DECATUR BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419606",
            "telephone_number": "317-903-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 DECATUR BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419570",
            "telephone_number": "317-813-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7105 Galen Dr W",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461238450",
            "country_code": "US",
            "telephone_number": "317-813-4690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9905 Fall Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462564804",
            "country_code": "US",
            "telephone_number": "317-813-4690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6067 Decatur Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462419606",
            "country_code": "US",
            "telephone_number": "317-813-4690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4840 Grasselli St",
            "address_purpose": "LOCATION",
            "city": "East Chicago",
            "state": "IN",
            "postal_code": "463123503",
            "country_code": "US",
            "telephone_number": "317-856-5201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAMAR SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-281-4545"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.