Individual provider Active NPI

Richard J Gale, PSYD, HSPP

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1538475199
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20042697A Issued in IN
Practice address
6437 Rucker Rd Ste C
Indianapolis, IN 46220-4868
Phone
(317) 426-6318
Fax
(317) 516-0924
NPI assigned
Aug 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20042697A IN Primary

Addresses

Primary practice location

6437 Rucker Rd Ste C
Indianapolis, IN 46220-4868

Mailing address

5124 Reformatory Rd
Pendleton, IN 46064-8767
Phone (765) 778-8011

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
20042697AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gale Psychological Services, LLC CurrentSince Aug 18, 2024 Accepting new patients

Locations

6437 Rucker Rd
Ste C
Indianapolis, IN 46220
Phone (317) 426-6318

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1538475199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 REFORMATORY RD",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648767",
            "telephone_number": "765-778-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 RUCKER RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204868",
            "telephone_number": "317-426-6318",
            "fax_number": "317-516-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD, HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042697A",
            "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 Aug 13, 2024; 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.