Jacqueline Lewis Hess, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040850 Issued in IN

Practice address

201 W 103Rd St
Suite 280
Indianapolis, IN 46290-1087

Phone

(317) 574-1785

Fax

(317) 574-1786

NPI assigned

Jan 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Wright State University Boonshoft School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health Associates IndyGroup PAC ID 4880136845, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Health Associates Indy

  • Psychologist
  • Indianapolis, IN
  • NPI 1578253233
  Medicare reassignment Care Compare group NPD
• Community Psychological Consultants

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1619184678
  NPD (past)

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1487700639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST",
            "address_2": "STE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601822",
            "telephone_number": "317-574-1785",
            "fax_number": "317-574-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 103RD ST",
            "address_2": "SUITE 280",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901087",
            "telephone_number": "317-574-1785",
            "fax_number": "317-574-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "JACQUELINE",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Heslip, MBA, BSN, RN
• Abram Hess, DDS
• Amy Groswald Hess, MD
• Catherine Hess
• Danielle Rae Hess, NP
• Logan Hess, LMHC-A
• Philip Arthur Hess, MS LSCW LMFT CEAP CA
• Carol M Hession, PH.D.
• Haley Nicole Hession, FNP-C
• Kelli Hession, CPNP

• 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 May 30, 2019; 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.