Active NPI
Alyssa Hoffman, PSY.D.
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1306387790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20043029A
- Practice address
- 6249 S East St
Suite I
Indianapolis, IN 46227-2091 - Phone
- (317) 780-5750
- NPI assigned
- Mar 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20043029A | IN | Primary |
Addresses
Primary practice location
6249 S East St
Suite I
Indianapolis, IN 46227-2091
Mailing address
6249 S East St
Suite I
Indianapolis, IN 46227-2091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043029A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freely Living Ocd and Anxiety Therapy, LLC | Current | Accepting new patients | |
| Beech Tree Consulting and Psychological Services | Clinical | Past | Accepting new patients |
Locations
360 S Madison Ave
Ste 204
Greenwood, IN 46142
Phone (317) 939-5966
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Greenwood, IN
- NPI 1912595190
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1619218666
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1306387790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6249 S EAST ST",
"address_2": "SUITE I",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6249 S EAST ST",
"address_2": "SUITE I",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272091",
"telephone_number": "317-780-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "ALYSSA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-17",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043029A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.