Alyssa Marie Kregloh, PSYD, HSPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20043246A Issued in IN

Practice address

1600 W Main St
Lebanon, IN 46052-2388

Phone

(317) 574-1254

Fax

(317) 674-0060

NPI assigned

Aug 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

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.

• Aspire Indiana Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Anderson, IN
  • NPI 1780068288

  IN

  Medicare reassignment NPD
• Aspire Indiana Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carmel, IN
  • NPI 1124016050

  IN

  Medicare reassignment NPD
• Jpchc Pharmacy LLC

  • Pharmacy
  • Indianapolis, IN
  • NPI 1346934825
  NPD (past)

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1528512134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 PRO MED LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325323",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W MAIN ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522388",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREGLOH",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "PSYD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043246A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "20043246A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SERVICE PROVIDER IN PSYCHOLOGY (HSPP)",
            "identifier": "20043246B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C. Knox, MD
• Jill Kristen Koenig
• Jackson Kouns
• Larry A Koval, O.D.
• Daniel E Kraft, MD
• Kroger Limited Partnership I
• Meredith England Labrie, BCBA
• Alan Joe Laclave, MD
• Lacy Moser Boggs, OD, Inc
• Lafayette Emergency Physicians, Inc

• All providers in Lebanon, IN
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.