Active NPI
Laura Hedrick
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1487144077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20043368B
- Practice address
- 4740 Kingsway Dr
Indianapolis, IN 46205-1521 - Phone
- (317) 466-1000
- NPI assigned
- May 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 20043368B | IN | Primary |
Addresses
Primary practice location
4740 Kingsway Dr
Indianapolis, IN 46205-1521
Mailing address
4740 Kingsway Dr
Indianapolis, IN 46205-1521
Other practice location 1
83 Maiden Lane
5th floor
New York, NY 10038
Phone (212) 780-2652
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 |
|---|---|---|---|
| 20043368B | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Rehabilitation Center, Inc. | 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.
-
- Rehabilitation Practitioner
- Indianapolis, IN
- NPI 1457359838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1487144077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 KINGSWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 KINGSWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051521",
"telephone_number": "317-466-1000"
}
],
"practiceLocations": [
{
"address_1": "83 Maiden Lane",
"address_2": "5th floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10038",
"country_code": "US",
"telephone_number": "212-780-2652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEDRICK",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043368B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.