Active NPI
Miceal C. Rooney, PSY.D.
- Counseling Psychologist
- Crown Point, IN
National Provider Identifier
1336389881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 20041217A
- Practice address
- 6685 E 117TH Ave
Crown Point, IN 46307-7808 - Phone
- (219) 662-0642
- NPI assigned
- Feb 24, 2009
- Last updated
- Apr 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 20041217A | IN | Primary |
Addresses
Primary practice location
6685 E 117TH Ave
Crown Point, IN 46307-7808
Mailing address
5310 Ward Road
Suite 106
Arvada, CO 80002-1829
Phone (877) 838-4783
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20041217A | IN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1336389881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 WARD ROAD",
"address_2": "SUITE 106",
"city": "ARVADA",
"state": "CO",
"postal_code": "800021829",
"telephone_number": "877-838-4783",
"fax_number": "877-345-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6685 E 117TH AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077808",
"telephone_number": "219-662-0642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROONEY",
"first_name": "MICEAL",
"middle_name": "C.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-24",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20041217A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.