Alan Scott Maugherman, PH.D., HSPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20041639A Issued in IN

Practice address

1806 W Royale Dr
Muncie, IN 47304-2243

Phone

(765) 381-4578

Fax

(765) 252-1316

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Maugherman Counseling & Testing LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yorktown, IN
  • NPI 1730062563
  Medicare reassignment NPD Authorized official
• Center for Psychological Development, PC

  • Psychologist
  • Muncie, IN
  • NPI 1003986795
  NPD (past)
• Open Door Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford City, IN
  • NPI 1245094028
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1336219039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042243",
            "telephone_number": "765-381-4578",
            "fax_number": "765-252-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042243",
            "telephone_number": "765-381-4578",
            "fax_number": "765-252-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGHERMAN",
        "first_name": "ALAN",
        "middle_name": "SCOTT",
        "credential": "PH.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041639A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000215914",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200199530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cory N Matters, LCSW
• Stephen Matteson, PHD
• Matthew L. Harkin
• Joshua David Matthews, MD
• Katrina Matthews
• Kimberly R Mauller, MD
• Rachael Mauller, RBT
• Sheryl E Maupin, M.A., LMHCA
• Amber Maxwell
• Malyssa May, LMHC

• Psychologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.