Cadwell Psychological Services, LLC – Psychologist

Key facts

NPI: 1467650754
Entity type: Organization (NPI type 2)
Primary specialty: Psychologist 103T00000X
License: 20042025A (IN)
Legal business name: CADWELL PSYCHOLOGICAL SERVICES, LLC
Practice address: 310 N Michigan St
Suite 204
Plymouth, IN 46563-1770
Phone: (574) 936-3031
NPI assigned: Jul 7, 2007
Organization subpart: No

Authorized official

Name: Carrie Ann Cadwell, PSY.D.
Title: Psychologist LLC Member
Phone: (574) 936-3031

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Nanette Arone Fredericks, LCSW Clinical Social Worker · Plymouth, IN · NPI 1871599761

NPD (past)

National Provider Directory

Locations

310 N Michigan St
Ste 204
Plymouth, IN 46563
Phone (574) 936-3031

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychologist Group: 193400000X SINGLE SPECIALTY GROUP	103T00000X	20042025A	IN	Yes

Addresses

Primary practice location

310 N Michigan St
Suite 204
Plymouth, IN 46563-1770

Mailing address

310 N Michigan St
Suite 204
Plymouth, IN 46563-1770
Phone (574) 936-3031

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467650754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N MICHIGAN ST",
            "address_2": "SUITE 204",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631770",
            "telephone_number": "574-936-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N MICHIGAN ST",
            "address_2": "SUITE 204",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631770",
            "telephone_number": "574-936-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADWELL PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CADWELL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST LLC MEMBER",
        "authorized_official_telephone_number": "574-936-3031",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042025A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Stephanie D Burger, ED.S.
Elijah Burns
Kaylee Busart
Byron M. Holm, MD
Jennifer Cabannis, MS
Carrie Ann Cadwell, PSY.D.,HSPP
Dawn Campbell, M.S.N./F.N.P.
Cardinal Center, Inc.
Geri Carlson, M.A., M.MIN.
Carmien & Pedavoli Family Dentistry, LLC

All providers in Plymouth, IN · Psychologist in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.