Organization Active NPI

Cadwell Psychological Services, LLC

  • Psychologist
  • Plymouth, IN
National Provider Identifier
1467650754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20042025A Issued in 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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carrie Ann Cadwell, PSY.D.NPI 1316935059
Title
Psychologist LLC Member
Phone
(574) 936-3031

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 20042025A IN Primary

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

National Provider Directory

National Provider Directory

Locations

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

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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.