Organization Active NPI

Anps-in LLC

  • Clinical Neuropsychologist
  • Valparaiso, IN
National Provider Identifier
1285865378
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
20042329A Issued in IN
Legal business name
ANPS-IN LLC
Practice address
908 Roosevelt Rd
Suite K
Valparaiso, IN 46383-4375
Phone
(219) 462-0246
Fax
(219) 462-5032
NPI assigned
Aug 6, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Judith Degrazia Harrington, PHD.NPI 1245356112
Title
Neuropsychologist
Phone
(702) 650-0590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20090910000146 IN Part B Supplier - Clinic/Group Practice 6103971676 Receives reassigned benefits from 2 practitioners
Practice locations: Valparaiso, IN

National Provider Directory

National Provider Directory

Locations

908 Roosevelt Rd
Ste K
Valparaiso, IN 46383
Phone (219) 462-0246

1251 Eastport Centre Dr
Ste 100
Valparaiso, IN 46383
Phone (219) 462-0246

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 20042329A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

908 Roosevelt Rd
Suite K
Valparaiso, IN 46383-4375

Mailing address

908 Roosevelt Rd
Suite K
Valparaiso, IN 46383-4375
Phone (219) 462-0246

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1245356112OtherINPERSONAL NPI NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2009.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1285865378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 ROOSEVELT RD",
            "address_2": "SUITE K",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834375",
            "telephone_number": "219-462-0246",
            "fax_number": "219-462-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 ROOSEVELT RD",
            "address_2": "SUITE K",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834375",
            "telephone_number": "219-462-0246",
            "fax_number": "219-462-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANPS-IN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "DEGRAZIA",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "702-650-0590",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20042329A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1245356112",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.