Barbara C Gelder, PHD
Individual provider Active NPI Psychologist · Fort Wayne, IN
NPI 1447265152 · NPPES record last updated Aug 3, 2022
Key facts
- NPI
- 1447265152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2004179A (IN)
- Practice address
- 3010 E State Blvd Ste 600
Fort Wayne, IN 46805-4762 - Phone
- (260) 471-2300
- Fax
- (260) 471-2778
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Center for Neurobehavioral Services Inc
Practice addresses (Care Compare)
136 W Main St
Inspiration Hub
Butler, IN 46721-1322
Phone (260) 226-2347
3010 E State Blvd
Fort Wayne, IN 46805-4700
Phone (260) 471-2300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050824001022 | IN | Practitioner - Clinical Psychologist | 5597796011 | Reassigns benefits to 2 organizations |
| I20150601000913 | MI | Practitioner - Clinical Psychologist | 5597796011 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004179A | IN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Neurobehavioral Services Inc | Current |
Accepting new patients | |
| Inspiration Ministries Inc | Current |
Accepting new patients |
Locations
136 W Main St
Butler, IN 46721
Phone (260) 226-2347
3010 E State Blvd
Fort Wayne, IN 46805
Phone (260) 471-2300
3010 E State Blvd
Ste 600
Fort Wayne, IN 46805
Phone (260) 471-2300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2004179A | IN | Yes |
Addresses
Primary practice location
3010 E State Blvd Ste 600
Fort Wayne, IN 46805-4762
Mailing address
3010 E State Blvd Ste 600
Fort Wayne, IN 46805-4762
Phone (260) 471-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200410870 | Medicaid | IN | |
| 000000248944 | Other | IN | ANTHEM |
| 2464293 | Other | OH | MEDICAID |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Questions@cnsfortwayne.com | Health Information Exchange (HIE) |
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.