Active NPI
Madelaine M Wohlreich, M.D.
- Psychiatry Physician
- Indianapolis, IN
National Provider Identifier
1245462332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD024411E
- Practice address
- 5202 Potters Pike
Indianapolis, IN 46234-2934 - Phone
- (317) 679-1402
- Fax
- (317) 388-9744
- NPI assigned
- Aug 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD15325 | SC | |
| Psychiatry Physician | 2084P0800X | MD024411E | PA | Primary |
Addresses
Primary practice location
5202 Potters Pike
Indianapolis, IN 46234-2934
Mailing address
5202 Potters Pike
Indianapolis, IN 46234-2934
Phone (317) 679-1402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD024411E | PA | MD | Psychiatry Physician |
| MD15325 | SC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1245462332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5202 POTTERS PIKE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462342934",
"telephone_number": "317-679-1402",
"fax_number": "317-388-9744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5202 POTTERS PIKE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462342934",
"telephone_number": "317-679-1402",
"fax_number": "317-388-9744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOHLREICH",
"first_name": "MADELAINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-21",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "MD15325",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD024411E",
"primary": true
}
],
"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 Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.