Indiana Neuropsychological Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

20040614A Issued in IN

Legal business name

INDIANA NEUROPSYCHOLOGICAL SERVICES LLC

Practice address

4043 S Webster St
Kokomo, IN 46902-6911

Phone

(765) 450-8204

Fax

(765) 450-8206

NPI assigned

Jun 11, 2009

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul J. Roberts, PH.D.NPI 1922042647

Title

Neuropsychologist

Phone

(765) 450-8204

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Joseph Roberts, PH.D.

  • Clinical Psychologist
  • Kokomo, IN
  • NPI 1922042647
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1275760696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 S WEBSTER ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026911",
            "telephone_number": "765-450-8204",
            "fax_number": "765-450-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 S WEBSTER ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026911",
            "telephone_number": "765-450-8204",
            "fax_number": "765-450-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA NEUROPSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "765-450-8204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IN",
            "license": "20040614A",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Health Centers, Inc.
• Indiana Health Centers, Inc. Pharmacy LLC
• Indiana Hearing Aid at Kokomo
• Indiana Hearing LLC (Miracle Ear)
• Indiana Institute of Immunology, Allergy and Asthma, PC
• Indiana Spine Group, PC
• Levi Ingram
• Integrity Family Counseling LLC (Integrity Family Counseling, Health & Wellness)
• Integrity Family Counseling LLC (Integrity Family Counseling)
• Integumed LLC

• Adult Mental Health Clinic/Center in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Adult Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.

Verify at the official NPI Registry.