Individual provider Active NPI

Emily Liffick, M.D.

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1336306950
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01064970A Issued in IN
Practice address
1111 W 10TH St
Psychiatry Building A212
Indianapolis, IN 46202-4800
Phone
(317) 274-1224
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01064970A IN Primary

Addresses

Primary practice location

1111 W 10TH St
Psychiatry Building A212
Indianapolis, IN 46202-4800

Mailing address

1111 W 10TH St
Psychiatry Building A212
Indianapolis, IN 46202-4800
Phone (317) 274-1224

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eliffick15287@direct.eskenazihealth.edu

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01064970AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Psychiatric Associates, Inc. Psychiatry PastSince Dec 18, 2003 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1336306950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 10TH ST",
            "address_2": "PSYCHIATRY BUILDING A212",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024800",
            "telephone_number": "317-274-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 10TH ST",
            "address_2": "PSYCHIATRY BUILDING A212",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024800",
            "telephone_number": "317-274-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFFICK",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01064970A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eliffick15287@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "720 Eskenazi Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.