Active NPI
Anps-in LLC
- Clinical Neuropsychologist
- Valparaiso, IN
National Provider Identifier
1285865378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 20042329A
- 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.
- 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.
-
- Clinical Neuropsychologist
- Valparaiso, IN
- NPI 1245356112
-
- Clinical Psychologist
- Munster, IN
- NPI 1124484977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090910000146 | IN | Part B Supplier - Clinic/Group Practice | 6103971676 |
Receives reassigned benefits from 2 practitioners Practice locations: Valparaiso, IN |
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 20042329A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245356112 | Other | IN | PERSONAL 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.