Individual provider Active NPI

Jody Horstman, PSYD, HSPP

  • Clinical Child & Adolescent Psychologist
  • Noblesville, IN
National Provider Identifier
1477501716
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
20040869 Issued in IN
Practice address
17840 Cumberland Rd
Noblesville, IN 46060-5409
Phone
(317) 574-1254
Fax
(317) 674-0060
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 20040869 IN Primary

Addresses

Primary practice location

17840 Cumberland Rd
Noblesville, IN 46060-5409

Mailing address

697 Pro Med LN
Carmel, IN 46032-5323
Phone (317) 574-1254

Other identifiers 1

IdentifierTypeStateIssuer
100468030MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000751 IN Practitioner - Clinical Psychologist 4385804764 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040869INMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Indiana Inc. CurrentSince Mar 12, 2012 Accepting new patients

Locations

4038 Ridgeview Dr
#1
Anderson, IN 46013
Phone (317) 587-0533

2020 Brown St
Anderson, IN 46016
Phone (317) 649-8161

1933 Chase St
Anderson, IN 46016
Phone (765) 622-7466

2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891

4038 Ridgeview Dr
Anderson, IN 46013

697 Pro Med Ln
Carmel, IN 46032
Phone (317) 574-0055

10731 N State Road 13
Elwood, IN 46036
Phone (765) 552-5009

201 Shelby St
Indianapolis, IN 46202
Phone (317) 637-9816

2506 Willowbrook Pkwy
Ste 111
Indianapolis, IN 46205
Phone (317) 475-7270

2506 Willowbrook Pkwy
Ste 300
Indianapolis, IN 46205
Phone (317) 587-0567

1600 W Main St
Lebanon, IN 46052
Phone (765) 335-7702

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

17840 Cumberland Rd
Noblesville, IN 46060
Phone (317) 773-6864

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Anderson Indiana Health - WillowbrookIndianapolis, IN, CCN 151004 Federally qualified health center Corporate Officer
Corporate Director
Dec 13, 2018
Dec 13, 2018
Aspire Indiana Health IncElwood, IN, CCN 151003 Federally qualified health center Corporate Officer
Corporate Director
Dec 13, 2018
Dec 13, 2018
Aspire May HouseAnderson, IN, CCN 151002 Federally qualified health center Corporate Officer
Corporate Director
Dec 13, 2018
Dec 13, 2018
Aspire Indiana Health IncAnderson, IN, CCN 151001 Federally qualified health center Corporate Officer
Corporate Director
Dec 13, 2018
Dec 13, 2018
Aspire Indiana Health - CarmelCarmel, IN, CCN 151008 Federally qualified health center Corporate Officer
Corporate Director
Dec 13, 2018
Dec 13, 2018
Aspire Indiana Health-NoblesvilleNoblesville, IN, CCN 151017 Federally qualified health center Corporate Officer
Corporate Director
Dec 13, 2018
Dec 13, 2018
Aspire Indiana Health - Progress House MainIndianapolis, IN, CCN 151084 Federally qualified health center Corporate Director Dec 13, 2018
Aspire Indiana Health-Mockingbird HillAnderson, IN, CCN 151095 Federally qualified health center Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
Dec 13, 2018
Dec 13, 2018
Dec 13, 2018
Aspire Indiana Health - Madison-GrantFairmount, IN, CCN 151118 Federally qualified health center Corporate Officer
Corporate Director
Dec 13, 2018
Dec 13, 2018

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1477501716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 PRO MED LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325323",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17840 CUMBERLAND RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605409",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSTMAN",
        "first_name": "JODY",
        "credential": "PSYD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IN",
            "license": "20040869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100468030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.