Individual provider Active NPI

Jason Hankee, PH.D.

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1225158454
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
99023932A Issued in IN
Practice address
2620 Kessler Boulevard East Dr Ste 235
Indianapolis, IN 46220-2897
Phone
(317) 762-8084
Fax
(317) 353-3445
NPI assigned
Mar 30, 2007
Last updated
Aug 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 99023932A IN Primary

Addresses

Primary practice location

2620 Kessler Boulevard East Dr Ste 235
Indianapolis, IN 46220-2897

Mailing address

2620 Kessler Boulevard East Drive
Suite 235
Indianapolis, IN 46220
Phone (317) 762-8084

Other identifiers 1

IdentifierTypeStateIssuer
300001690MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090625000013 IN Practitioner - Clinical Psychologist 8426109828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2620 Kessler Boulevard E Dr
Suite 235
Indianapolis, IN 46220-2897
Phone (317) 762-8084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
99023932AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Mental Health and Wellness CurrentSince Nov 30, 2016 Accepting new patients

Locations

2620 Kessler Boulevard East Dr
Ste 235
Indianapolis, IN 46220
Phone (317) 417-3066

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1225158454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 KESSLER BOULEVARD EAST DRIVE",
            "address_2": "SUITE 235",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "317-762-8084",
            "fax_number": "317-353-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 KESSLER BOULEVARD EAST DR STE 235",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202897",
            "telephone_number": "317-762-8084",
            "fax_number": "317-353-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKEE",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "99023932A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300001690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.