NPIMap

Organization Active NPI

Health Associates Indy

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1578253233
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HEALTH ASSOCIATES INDY
Practice address
9240 N Meridian St Ste 320
Indianapolis, IN 46260-1822
Phone
(317) 844-7489
Fax
(317) 581-1007
NPI assigned
May 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Jerad Dalton, DONPI 1306835418
Title
Member
Phone
(317) 844-7489

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

9240 N Meridian St Ste 320
Indianapolis, IN 46260-1822

Mailing address

9240 N Meridian St Ste 320
Indianapolis, IN 46260-1822
Phone (317) 844-7489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240605001559 IN Part B Supplier - Clinic/Group Practice 4880136845 Receives reassigned benefits from 9 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1578253233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST STE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601822",
            "telephone_number": "317-844-7489",
            "fax_number": "317-581-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST STE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601822",
            "telephone_number": "317-844-7489",
            "fax_number": "317-581-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ASSOCIATES INDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JERAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-844-7489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.