Organization Active NPI

Westside Counseling & Psychologica Services, PC

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1588868137
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040222A Issued in IN
Legal business name
WESTSIDE COUNSELING & PSYCHOLOGICA SERVICES, PC
Practice address
3850 Shore Dr
Suite 303
Indianapolis, IN 46254-5621
Phone
(317) 328-1200
Fax
(317) 328-1200
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stanley E. Osmunson, EDDNPI 1659443240
Title
Psychologist President
Phone
(317) 328-1200

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: 193400000X SINGLE SPECIALTY GROUP 103T00000X 20040222A IN Primary

Addresses

Primary practice location

3850 Shore Dr
Suite 303
Indianapolis, IN 46254-5621

Mailing address

3850 Shore Dr
Suite 303
Indianapolis, IN 46254-5621
Phone (317) 328-1200

Other identifiers 1

IdentifierTypeStateIssuer
000000184223OtherINANTHEM BC BS

National Provider Directory

National Provider Directory

Locations

3850 Shore Dr
Ste 303
Indianapolis, IN 46254
Phone (317) 328-1200

Practitioners & affiliated clinicians

Practitioners 1

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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588868137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SHORE DR",
            "address_2": "SUITE 303",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545621",
            "telephone_number": "317-328-1200",
            "fax_number": "317-328-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SHORE DR",
            "address_2": "SUITE 303",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545621",
            "telephone_number": "317-328-1200",
            "fax_number": "317-328-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE COUNSELING & PSYCHOLOGICA SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSMUNSON",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PSYCHOLOGIST PRESIDENT",
        "authorized_official_telephone_number": "317-328-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040222A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000184223",
            "state": "IN"
        }
    ],
    "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 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.