Ana Velia Cofresi, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040960A Issued in IN

Practice address

10585 N Meridian St
Suite 340
Indianapolis, IN 46290-1069

Phone

(317) 580-4012

Fax

(317) 580-4010

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Choices Psychology Consultation Center, Inc.

  • Psychologist
  • Indianapolis, IN
  • NPI 1609996388
  NPD (past)
• Serdan Group, LLC

  dba Kimberly G. Montgomery, PH.D. HSPP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
  • NPI 1487821856
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346453941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10585 NORTH MERIDIAN STREET",
            "address_2": "SUITE 340",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901129",
            "telephone_number": "317-580-4012",
            "fax_number": "317-580-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 N MERIDIAN ST",
            "address_2": "SUITE 340",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901069",
            "telephone_number": "317-580-4012",
            "fax_number": "317-580-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFRESI",
        "first_name": "ANA",
        "middle_name": "VELIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040960A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Coffman, NP
• Richard Allen Coffman, DDS
• Stephanie Coffman
• Susan Michelle Coffman
• Natalie Guerrero Cofie, MD, PHD
• Kourtney Leann Cogdill, LCSW
• Stacey J Coghill, LMHC
• Kathryn Coghlan, DDS
• Matthew Anton Coghlan, MD
• Cognicore Therapy LLC

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.