Active NPI
Anne-Marie Nicole Fleckenstein, PHD
- Psychologist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20043612A
- Practice address
- 355 W 16TH St Ste 2500
Indianapolis, IN 46202-2280 - Phone
- (317) 963-7204
- Fax
- (317) 963-7211
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 20043612A | IN | |
| Health Service Psychologist | 103TH0100X | 20043612B | IN | |
| Psychologist | 103T00000X | 20043612A | IN | Primary |
Addresses
Primary practice location
355 W 16TH St Ste 2500
Indianapolis, IN 46202-2280
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300069161 | Medicaid | IN | |
| 1102717688 | Other | IN | ANTHEM PTAN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amfleckenstein@direct.iuhealth.org | Direct | |
| Direct Messaging Address | amfleckenstein@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043612A | IN | MD | Clinical Neuropsychologist |
| 20043612B | IN | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Iu Health Medical Group Riley Specialists, LLC | Psychologist | Current | Accepting new patients |
| Indiana Clinic-Neurology, LLC | Current | Accepting new patients |
Locations
3879 Reliable Pkwy
Chicago, IL 60686
350 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-9874
355 W 16th St
Ste 2500
Indianapolis, IN 46202
Phone (317) 963-7204
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
355 W 16th St
Indianapolis, IN 46202
Phone (317) 963-7070
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Organizations & group practices 3
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.
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- NPI 1578792271
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- Pediatrics Physician
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- NPI 1699561480
Psychologist
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1386366391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W 16TH ST STE 2500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022280",
"telephone_number": "317-963-7204",
"fax_number": "317-963-7211"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLECKENSTEIN",
"first_name": "ANNE-MARIE",
"middle_name": "NICOLE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IN",
"license": "20043612A",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "IN",
"license": "20043612B",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20043612A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300069161",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "1102717688",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amfleckenstein@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "355 W 16th St Ste 2500",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462022280",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amfleckenstein@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.