Active NPI
Southern Indiana Rehab Hospital
- Clinical Psychologist
- New Albany, IN
National Provider Identifier
1356501506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SOUTHERN INDIANA REHAB HOSPITAL
- Practice address
- 3104 Blackiston Blvd
New Albany, IN 47150-9579 - Phone
- (812) 941-8300
- NPI assigned
- Jun 11, 2008
- 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
- Randy L Napier
- Title
- Ceo
- Phone
- (812) 941-6106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3104 Blackiston Blvd
New Albany, IN 47150-9579
Mailing address
PO Box 2587
Louisville, KY 40201-2587
Phone (502) 587-4099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200715810A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1356501506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2587",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402012587",
"telephone_number": "502-587-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 BLACKISTON BLVD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509579",
"telephone_number": "812-941-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN INDIANA REHAB HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "NAPIER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "812-941-6106"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200715810A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
- Southern Indiana Anesthesia Consultants, PLLC
- Southern Indiana Cardiology Associates LLC
- Southern Indiana Chiropractic & Rehabilitation Center, P.S.C.
- Southern Indiana Diabetes and Endocrinology PC
- Southern Indiana Endoscopy, LLC
- Southern Indiana Rehabilitation Hospital
- Southern Indiana Rehabilitation Hospital
- Southern Indiana Rehabilitation Hospital
- Adriana Spanova, MD
- Tamyra J Spear, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.