Active NPI
Gydo, LLC
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1346655412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34003862A
- Legal business name
- GYDO, LLC
- Doing business as
- Gydo
- Practice address
- 9502 Angola CT
Suite 4
Indianapolis, IN 46268-3177 - Phone
- (317) 471-8780
- Fax
- (317) 454-0775
- NPI assigned
- Jun 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Allen M Rader, LCSW
- Title
- Ceo/Owner
- Phone
- (317) 471-8780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003862A | IN | Primary |
Addresses
Primary practice location
9502 Angola CT
Suite 4
Indianapolis, IN 46268-3177
Mailing address
9502 Angola CT
Suite 4
Indianapolis, IN 46268-3177
Phone (317) 471-8780
Other names 1
- Gydo
National Provider Directory
National Provider DirectoryLocations
8650 Commerce Park Pl
#A1
Indianapolis, IN 46268
Phone (317) 388-8131
9502 Angola Ct
Ste 4
Indianapolis, IN 46268
Phone (317) 471-8780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403740800000",
"number": "1346655412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9502 ANGOLA CT",
"address_2": "SUITE 4",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683177",
"telephone_number": "317-471-8780",
"fax_number": "317-454-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9502 ANGOLA CT",
"address_2": "SUITE 4",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683177",
"telephone_number": "317-471-8780",
"fax_number": "317-454-0775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GYDO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A",
"authorized_official_last_name": "RADER",
"authorized_official_first_name": "ALLEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "317-471-8780",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003862A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gydo",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.