Active NPI
Junchen Guo, PHD
- Clinical Child & Adolescent Psychologist
- Indianapolis, IN
National Provider Identifier
1255017240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 20044078A
- Practice address
- 1002 Wishard Blvd Ste 4110
Indianapolis, IN 46202-4164 - Phone
- (317) 944-8162
- NPI assigned
- Jun 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | 20044078A | IN | Primary |
Addresses
Primary practice location
1002 Wishard Blvd Ste 4110
Indianapolis, IN 46202-4164
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
9012 Q St
Omaha, NE 68127-3549
Phone (402) 552-9556
Other practice location 2
5050 Ames Ave
Omaha, NE 68104-2323
Phone (402) 836-9781
Other practice location 3
6902 Pine St
Omaha, NE 68106-2855
Phone (402) 559-6418
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jguo@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
250 N Shadeland Ave
Indianapolis, IN 46219-4959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1255017240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 WISHARD BLVD STE 4110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024164",
"telephone_number": "317-944-8162"
}
],
"practiceLocations": [
{
"address_1": "9012 Q St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681273549",
"country_code": "US",
"telephone_number": "402-552-9556",
"fax_number": "402-559-5737",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5050 Ames Ave",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681042323",
"country_code": "US",
"telephone_number": "402-836-9781",
"fax_number": "402-559-5737",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6902 Pine St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681062855",
"country_code": "US",
"telephone_number": "402-559-6418",
"fax_number": "402-559-5737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUO",
"first_name": "JUNCHEN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-23",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IN",
"license": "20044078A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jguo@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1002 Wishard Blvd Ste 4110",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462024164",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 1, 2026; 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.