Individual provider Active NPI

Brandi Nicole Caudill-Roach, PHD

  • Psychologist
  • Terre Haute, IN
National Provider Identifier
1316689672
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20043538A Issued in IN
Practice address
2740 S 7TH St
Terre Haute, IN 47802-3559
Phone
(812) 235-6121
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20043538A IN Primary

Addresses

Primary practice location

2740 S 7TH St
Terre Haute, IN 47802-3559

Mailing address

2740 S 7TH St
Terre Haute, IN 47802-3559
Phone (812) 235-6121

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bncr2022 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920001897 IN Practitioner - Clinical Psychologist 1759766256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mu Associates, LLCGroup PAC ID 3577611334, 8 clinicians

Practice addresses (Care Compare)

2740 S 7TH St
Terre Haute, IN 47802-3559
Phone (812) 235-6121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mu Associates, LLC CurrentSince Aug 23, 2022 Accepting new patients
Hamilton Center Inc. CurrentSince Jul 17, 2023 Accepting new patients
Hamilton Center, Inc. CurrentSince Jul 17, 2023 Accepting new patients

Locations

2740 S 7th St
Terre Haute, IN 47802
Phone (812) 235-6121

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1316689672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023559",
            "telephone_number": "812-235-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023559",
            "telephone_number": "812-235-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL-ROACH",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043538A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bncr2022",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2740 S 7th St",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478023559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.