Individual provider Active NPI

Rebecca Kominsky, PHD

  • Clinical Neuropsychologist
  • Carmel, IN
National Provider Identifier
1366326811
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
20043815A Issued in IN
Practice address
10293 N Meridian St Ste 210
Carmel, IN 46290-1079
Phone
(317) 806-0209
Fax
(317) 960-3739
NPI assigned
Aug 5, 2025
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 20043815A IN Primary

Addresses

Primary practice location

10293 N Meridian St Ste 210
Carmel, IN 46290-1079

Mailing address

1115 W 72ND St
Indianapolis, IN 46260-4038
Phone (410) 818-9932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250813002746 IN Practitioner - Clinical Psychologist 2163920562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Neuropsychology Group LLCGroup PAC ID 5799168506, 11 clinicians

Practice addresses (Care Compare)

10293 N Meridian St
Suite 210
Carmel, IN 46290-1079
Phone (812) 292-0738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Neuropsychology Group LLC Clinical Neuropsychologist CurrentSince Oct 1, 2025 Accepting new patients

Locations

10293 N Meridian St
Ste 210
Carmel, IN 46290
Phone (317) 581-2292

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1366326811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 W 72ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462604038",
            "telephone_number": "410-818-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10293 N MERIDIAN ST STE 210",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901079",
            "telephone_number": "317-806-0209",
            "fax_number": "317-960-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMINSKY",
        "first_name": "REBECCA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20043815A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.