NPIMap

Organization Active NPI

Soper Consulting, PC

  • Clinical Psychologist
  • Fishers, IN
National Provider Identifier
1487741633
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040752A Issued in IN
Legal business name
SOPER CONSULTING, PC
Practice address
12999 Parkside Drive
Fishers, IN 46038
Phone
(317) 579-9356
Fax
(317) 774-1531
NPI assigned
Oct 9, 2006
Organization subpart
Yes
Parent organization
SOPER CONSULTING, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Dr. David Anthony Soper, PH.D.
Title
President
Phone
(317) 626-2462

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X 20040752A IN
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 20040752A IN Primary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TM1800X 57000107A IN
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TM1800X 20040752A IN

Addresses

Primary practice location

12999 Parkside Drive
Fishers, IN 46038

Mailing address

7166 Summer Oak Drive
Noblesville, IN 46062
Phone (317) 626-2462

Other names 1

  • At The Well Doing business as

National Provider Directory

National Provider Directory
Part of
Soper Consulting PC

Locations

12999 Parkside Dr
Fishers, IN 46038
Phone (317) 579-9356

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1487741633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7166 SUMMER OAK DRIVE",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "46062",
            "telephone_number": "317-626-2462",
            "fax_number": "317-774-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12999 PARKSIDE DRIVE",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46038",
            "telephone_number": "317-579-9356",
            "fax_number": "317-774-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPER CONSULTING, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOPER CONSULTING, PC",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-626-2462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IN",
            "license": "20040752A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040752A",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "IN",
            "license": "57000107A",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "IN",
            "license": "20040752A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At The Well",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.