Individual provider Active NPI

Jessica L Neukam-Helms, PSY.D., HSPP

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1558744888
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042861A Issued in IN
Practice address
5226 S East St
Suite A4
Indianapolis, IN 46227-1994
Phone
(317) 780-5750
Fax
(317) 780-5755
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20042861A IN Primary

Addresses

Primary practice location

5226 S East St
Suite A4
Indianapolis, IN 46227-1994

Mailing address

6441 Creekshore LN
Indianapolis, IN 46268-5079
Phone (812) 630-9183

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20042861AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Presence Psychological Services LLC Clinical CurrentSince Aug 2, 2020 Accepting new patients

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1558744888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 CREEKSHORE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462685079",
            "telephone_number": "812-630-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 S EAST ST",
            "address_2": "SUITE A4",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271994",
            "telephone_number": "317-780-5750",
            "fax_number": "317-780-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUKAM-HELMS",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042861A",
            "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 Jul 31, 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.