Active NPI
Paula Frances Pelland, PSY.D.
- Clinical Psychologist
- Terre Haute, IN
National Provider Identifier
1477620854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20040569A
- Practice address
- 1400 E Pugh Dr
Suite 14
Terre Haute, IN 47802-3942 - Phone
- (812) 235-2600
- Fax
- (812) 235-0571
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20040569A | IN | Primary |
Addresses
Primary practice location
1400 E Pugh Dr
Suite 14
Terre Haute, IN 47802-3942
Mailing address
1400 E Pugh Dr
Suite 14
Terre Haute, IN 47802-3942
Phone (812) 235-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000476204 | Other | IN | ANTHEM PROVIDER ID NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20040569A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelland Psychological Services LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Terre Haute, IN
- NPI 1972713295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477620854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E PUGH DR",
"address_2": "SUITE 14",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023942",
"telephone_number": "812-235-2600",
"fax_number": "812-235-0571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E PUGH DR",
"address_2": "SUITE 14",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023942",
"telephone_number": "812-235-2600",
"fax_number": "812-235-0571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLAND",
"first_name": "PAULA",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20040569A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER ID NO",
"identifier": "000000476204",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.