Active NPI
Julian Center Inc
- Psychologist
- Indianapolis, IN
National Provider Identifier
1407900483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- JULIAN CENTER INC
- Practice address
- 2011 N Meridian St
Indianapolis, IN 46202-1305 - Phone
- (317) 941-2200
- Fax
- (317) 941-2208
- NPI assigned
- Jan 23, 2007
- 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
- Carol Waldrip
- Title
- Office Manager
- Phone
- (317) 941-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2011 N Meridian St
Indianapolis, IN 46202-1305
Mailing address
2011 N Meridian St
Indianapolis, IN 46202-1305
Phone (317) 941-2200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200107310A | Medicaid | IN | |
| 316383 | Other | IN | VALUE OPTIONS |
| 726197000 | Other | IN | MAGELLAN |
| 4644404 | Other | IN | AETNA |
National Provider Directory
National Provider DirectoryLocations
2011 N Meridian St
Indianapolis, IN 46202
Phone (317) 924-7010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health Service Psychologist
- Indianapolis, IN
- NPI 1376600767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363737600000",
"number": "1407900483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 N MERIDIAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021305",
"telephone_number": "317-941-2200",
"fax_number": "317-941-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 N MERIDIAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021305",
"telephone_number": "317-941-2200",
"fax_number": "317-941-2208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIAN CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2013-03-20",
"status": "A",
"authorized_official_last_name": "WALDRIP",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "317-941-2200"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200107310A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "316383",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "726197000",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4644404",
"state": "IN"
}
],
"endpoints": [],
"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 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.