Organization Active NPI

Payal Patel, PSYD LLC

  • Psychologist
  • Whiting, IN
National Provider Identifier
1548877848
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PAYAL PATEL, PSYD LLC
Practice address
2230 Indianapolis Blvd
Whiting, IN 46394-1956
Phone
(219) 659-0333
NPI assigned
Sep 30, 2020
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Dr. Payal Patel, PSYDNPI 1093378085
Title
Manager and Psychologist
Phone
(847) 454-5179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

2230 Indianapolis Blvd
Whiting, IN 46394-1956

Mailing address

2230 Indianapolis Blvd
Whiting, IN 46394-1956

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1548877848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 INDIANAPOLIS BLVD",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 INDIANAPOLIS BLVD",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941956",
            "telephone_number": "219-659-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAL PATEL, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_title_or_position": "MANAGER AND PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-454-5179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.