Philip Scott Parker, PH.D., HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041153A Issued in IN

Practice address

8135 Brent Ave
Indianapolis, IN 46240-2725

Phone

(317) 650-1105

Fax

(317) 726-0714

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Parker and Associates of Indianapolis, Inc.

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1104996719
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487662565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 BRENT AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402725",
            "telephone_number": "317-650-1105",
            "fax_number": "317-726-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 BRENT AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402725",
            "telephone_number": "317-650-1105",
            "fax_number": "317-726-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PHILIP",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PH.D., HSPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041153A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000207576",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Ezekiel Parker, LMHC
• Kelly Colleen Parker, NP
• Kisha Parker, M.A.
• Lori Ann Parker, PHARM.D
• Patrice Parker
• Phillis Marie Parker, M.D.
• Reginald Stephen Parker
• Tara Nicole Parker, MS, CCC-SLP
• Teresa Parker
• Vanessa Parker

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.