Active NPI
Carol L Wroblewski
- Psychologist
- Indianapolis, IN
National Provider Identifier
1437476652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20040822A
- Practice address
- 7250 Clearvista Dr
Indianapolis, IN 46256-4692 - Phone
- (317) 621-5719
- NPI assigned
- Apr 28, 2010
- Last updated
- Nov 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20040822A | IN | Primary |
| Counseling Psychologist | 103TC1900X | 20040822A | IN |
Addresses
Primary practice location
7250 Clearvista Dr
Indianapolis, IN 46256-4692
Mailing address
1040 Sierra Dr Ste 400
Greenwood, IN 46143-7241
Phone (317) 528-4800
Other practice location 1
5230 E Stop 11 Rd
Suite 190
Indianapolis, IN 46237-6398
Phone (317) 528-7525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201232520 | Medicaid | IN |
Other names 1
- Dr. Carol L Hagans
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cwroblewski410571@eCommunityDirect.com | Community Health Network, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Interoperability endpoints
- cwroblewski410571@ecommunitydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1437476652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SIERRA DR STE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437241",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 CLEARVISTA DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564692",
"telephone_number": "317-621-5719"
}
],
"practiceLocations": [
{
"address_1": "5230 E Stop 11 Rd",
"address_2": "Suite 190",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462376398",
"country_code": "US",
"telephone_number": "317-528-7525",
"fax_number": "317-528-1097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WROBLEWSKI",
"first_name": "CAROL",
"middle_name": "L",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-28",
"last_updated": "2023-11-27",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20040822A",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20040822A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201232520",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cwroblewski410571@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Health Network, Inc",
"address_1": "6950 Hillsdale Ct",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462502040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CAROL",
"last_name": "HAGANS",
"middle_name": "L",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.