Active NPI
Westside Counseling & Psychologica Services, PC
- Psychologist
- Indianapolis, IN
National Provider Identifier
1588868137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20040222A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stanley E. Osmunson, EDD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000184223 | Other | IN | ANTHEM BC BS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1659443240
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.