Individual provider Active NPI

David L Alexander, PSYCHOLOGIST H.S.P.P

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1497757074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040258A Issued in IN
Practice address
9292 N Meridian St
Suite 311
Indianapolis, IN 46260-1857
Phone
(317) 255-8495
Fax
(317) 255-8494
NPI assigned
Aug 12, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20040258A IN Primary

Addresses

Primary practice location

9292 N Meridian St
Suite 311
Indianapolis, IN 46260-1857

Mailing address

5349 N Kenwood Ave
Indianapolis, IN 46208-2645
Phone (317) 255-8495

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

LicenseStateTypeSpecialty
20040258AINMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497757074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 N KENWOOD AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462082645",
            "telephone_number": "317-255-8495",
            "fax_number": "317-255-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9292 N MERIDIAN ST",
            "address_2": "SUITE 311",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601857",
            "telephone_number": "317-255-8495",
            "fax_number": "317-255-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "PSYCHOLOGIST H.S.P.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040258A",
            "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 Jul 8, 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.

Verify at the official NPI Registry.