Maria P Hanzlik, PSY.D., HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042561A Issued in IN

Practice address

50 E 91St St
Suite 316
Indianapolis, IN 46240-1549

Phone

(317) 550-3221

Fax

(317) 550-3228

NPI assigned

Aug 18, 2010

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 14, 2022 through Oct 14, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Maria P. Hanzlik, LLC

  dba Integrated Psychological Center of Indiana (IPCI)

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1720574007
  NPD (past) Authorized official

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1285949982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 91ST ST",
            "address_2": "SUITE 316",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401549",
            "telephone_number": "317-550-3221",
            "fax_number": "317-550-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 91ST ST",
            "address_2": "SUITE 316",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401549",
            "telephone_number": "317-550-3221",
            "fax_number": "317-550-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANZLIK",
        "first_name": "MARIA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042561A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Catherine Hanson, FNP-C
• Richard Allen Hanson II, MSW/LSW
• Sara Leigh Hanson, ANP-BC
• Stacey Lynn Hanson, CCC-SLP
• Michelle A Hanzely, PA-C
• Chunhai Hao, MD, PHD
• Maya Haouili
• Kristi L. Hape
• Michael Joseph Happe, MD
• Happie Hope and Loving Care Solutions LLC

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.