Active NPI
Modern Strength Psychology Center
- Psychologist
- Indianapolis, IN
National Provider Identifier
1255039079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- MODERN STRENGTH PSYCHOLOGY CENTER
- Practice address
- 9102 N Meridian St Ste 550
Indianapolis, IN 46260-1899 - Phone
- (614) 448-6693
- NPI assigned
- Feb 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kassandra E Lowery, PH.D.
- Title
- Owner, Clinical Neuropsychologist
- Phone
- (317) 559-3221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
9102 N Meridian St Ste 550
Indianapolis, IN 46260-1899
Mailing address
9102 N Meridian St Ste 550
Indianapolis, IN 46260-1899
Phone (317) 559-3221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053820083 | Medicaid | IN | |
| 1548256795 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9102 N Meridian St
Ste 550
Indianapolis, IN 46260
Phone (317) 559-3221
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Kokomo, IN
- NPI 1548256795
-
- Clinical Psychologist
- Carmel, IN
- NPI 1053830083
-
- Student in an Organized Health Care Education/Training Program
- Indianapolis, IN
- NPI 1942172465
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1881513232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695340800000",
"number": "1255039079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9102 N MERIDIAN ST STE 550",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601899",
"telephone_number": "317-559-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9102 N MERIDIAN ST STE 550",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601899",
"telephone_number": "614-448-6693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN STRENGTH PSYCHOLOGY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-21",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A",
"authorized_official_last_name": "LOWERY",
"authorized_official_first_name": "KASSANDRA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER, CLINICAL NEUROPSYCHOLOGIST",
"authorized_official_telephone_number": "317-559-3221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053820083",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548256795",
"state": "IN"
}
],
"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 Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.