Individual provider Active NPI

Jane Anne Rush Ford, PSY.D., HSPP

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1578693156
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
5715 Decatur Blvd
Indianapolis, IN 46241-9561
Phone
(317) 455-2366
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 20043443A IN
Clinical Psychologist 103TC0700X 20043443A IN
Psychologist 103T00000X Primary

Addresses

Primary practice location

5715 Decatur Blvd
Indianapolis, IN 46241-9561

Mailing address

6067 Decatur Blvd
Indianapolis, IN 46241-9606
Phone (317) 455-2366

Other practice location 1

6067 Decatur Blvd
Indianapolis, IN 46241-9606
Phone (317) 455-2366

Other names 1

  • Jane A Rush Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114001287 IN Practitioner - Clinical Psychologist 0345477717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6067 Decatur Blvd
Indianapolis, IN 46241-9606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20043443AINMDClinical Psychologist
1152SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Damar Services Inc. CurrentSince Sep 28, 2025 Accepting new patients
Damar Services Inc Clinical Current Accepting new patients

Locations

6067 Decatur Blvd
Indianapolis, IN 46241
Phone (317) 455-2366

7421 Heathrow Way
Indianapolis, IN 46241

5715 Decatur Blvd
Indianapolis, IN 46241
Phone (317) 455-2366

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1578693156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6067 DECATUR BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419606",
            "telephone_number": "317-455-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 DECATUR BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419561",
            "telephone_number": "317-455-2366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6067 Decatur Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462419606",
            "country_code": "US",
            "telephone_number": "317-455-2366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "JANE",
        "middle_name": "ANNE RUSH",
        "name_prefix": "Dr.",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "IN",
            "license": "20043443A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043443A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "RUSH",
            "middle_name": "A",
            "credential": "PSYD, HSPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.