Individual provider Active NPI

Sirrena Jean Piercy, PSY.D., HSPP

  • Clinical Psychologist
  • Frankfort, IN
National Provider Identifier
1275880437
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042797A Issued in IN
Practice address
357 N Columbia St
Frankfort, IN 46041-1635
Phone
(765) 670-6480
Fax
(765) 670-6482
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20042797A IN Primary

Addresses

Primary practice location

357 N Columbia St
Frankfort, IN 46041-1635

Mailing address

357 N Columbia St
Frankfort, IN 46041-1635
Phone (765) 670-6480

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
I20131226000445 IN Practitioner - Clinical Psychologist 8426285263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Oaks Health IncGroup PAC ID 7315927563, 45 clinicians

Practice addresses (Care Compare)

1265 N Bradford Dr
Delphi, IN 46923-9553
Phone (765) 564-2247

41 N Long Ave
Attica, IN 47918-8117
Phone (765) 762-6187

415 N 26TH St
Suite 201
Lafayette, IN 47904-2856

610 Main St
Lafayette, IN 47901-1451
Phone (765) 423-2638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20042797AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Nov 20, 2013 Accepting new patients
Valley Oaks Health Inc CurrentSince Nov 20, 2013 Accepting new patients

Locations

357 N Columbia St
Frankfort, IN 46041
Phone (765) 670-6480

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1275880437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 N COLUMBIA ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460411635",
            "telephone_number": "765-670-6480",
            "fax_number": "765-670-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 N COLUMBIA ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460411635",
            "telephone_number": "765-670-6480",
            "fax_number": "765-670-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCY",
        "first_name": "SIRRENA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042797A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IN

Sources for this page

Verify at the official NPI Registry.