Villages of Indiana, Inc

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

Legal business name

VILLAGES OF INDIANA, INC

Practice address

2405 N Smith Pike
Bloomington, IN 47404-1363

Phone

(812) 332-1245

Fax

(812) 333-4717

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly J Davis

Title

Compliance MGR

Phone

(812) 332-1245

Specialties & licenses 1

Addresses

Other names 1

• THE VILLAGES Other name

Tax ID family

The Villages2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Villages of Indiana, Inc

  • Foster Care Agency
  • Kokomo, IN
  • NPI 1689849283
  NPD tax ID

Locations

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558322776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N SMITH PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474041363",
            "telephone_number": "812-332-1245",
            "fax_number": "812-333-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N SMITH PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474041363",
            "telephone_number": "812-332-1245",
            "fax_number": "812-333-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGES OF INDIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COMPLIANCE MGR",
        "authorized_official_telephone_number": "812-332-1245",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE VILLAGES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beverly Anne Vicker, MS CCCSLP
• Ava Vickers, RBT
• Amanda Vickstrom, RBT
• Claudia Irene Vidal, MD
• Rachel Nicole Vidito, RBT
• Maggie Vincent
• Destiny Vineyard
• Crista Lynn Virtue, MD
• Mona Visnius
• Nancy Vitello

• Psychoanalysis Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Psychoanalysis Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.