NPIMap

Organization Active NPI

Medpsych Consultants PC

  • Clinical Psychologist
  • McCordsville, IN
National Provider Identifier
1447585823
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2004029A Issued in IN
Legal business name
MEDPSYCH CONSULTANTS PC
Practice address
9904 Ridgeway CT
MC Cordsville, IN 46055-9790
Phone
(317) 335-3871
NPI assigned
Oct 2, 2009
Last updated
Oct 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Gregory A Correll, PHDNPI 1326045063
Title
Psychologist/Owner
Phone
(317) 335-3871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2004029A IN Primary

Addresses

Primary practice location

9904 Ridgeway CT
MC Cordsville, IN 46055-9790

Mailing address

17330 W Center Rd
Suite 110-282
Omaha, NE 68130-2392
Phone (317) 446-9288

National Provider Directory

National Provider Directory

Locations

17330 W Center Rd
Ste 110282
Omaha, NE 68130

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1447585823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 W CENTER RD",
            "address_2": "SUITE 110-282",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302392",
            "telephone_number": "317-446-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9904 RIDGEWAY CT",
            "city": "MC CORDSVILLE",
            "state": "IN",
            "postal_code": "460559790",
            "telephone_number": "317-335-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPSYCH CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "CORRELL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "317-335-3871",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "2004029A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.