Active NPI
Angela Gutjahr, PSYD
- Psychologist
- Columbus, IN
National Provider Identifier
1548225758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 99029520A
- Practice address
- 720 N Marr Rd
Columbus, IN 47201-6660 - Phone
- (812) 314-3400
- Fax
- (812) 378-8367
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 99029520A | IN | Primary |
Addresses
Primary practice location
720 N Marr Rd
Columbus, IN 47201-6660
Mailing address
720 N Marr Rd
Columbus, IN 47201-6660
Phone (812) 314-3400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 99029520A | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1548225758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 N MARR RD",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472016660",
"telephone_number": "812-314-3400",
"fax_number": "812-378-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N MARR RD",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472016660",
"telephone_number": "812-314-3400",
"fax_number": "812-378-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTJAHR",
"first_name": "ANGELA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "99029520A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.