Nicholas Bond, PSYD
Individual provider Active NPI Clinical Psychologist · Indianapolis, IN
NPI 1295565604 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1295565604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 20043780A (IN)
- Practice address
- 1481 W 10TH St
Indianapolis, IN 46202-2803 - Phone
- (317) 988-2655
- NPI assigned
- Aug 2, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043780A | IN | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20043780A | IN | Yes |
Addresses
Primary practice location
1481 W 10TH St
Indianapolis, IN 46202-2803
Mailing address
1481 W 10TH St
Indianapolis, IN 46202-2803
Other providers in Indianapolis, IN
- Anna Mary Bona
- Rachel Hope Bonbrest
- Jamyla Bond
- Jessica Bond
- Madelyn Bond
- Olivia Bond
- Bonded Quality Care LLC
- Leonard Paul Chan Bondoc
- Phyllis J Bonds
- Kathryn K Bongo
All providers in Indianapolis, IN · Clinical Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.