NPIMap

Organization Active NPI

Beech Tree Consulting and Psychological Services

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1619218666
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042288A Issued in IN
Legal business name
BEECH TREE CONSULTING AND PSYCHOLOGICAL SERVICES
Practice address
6249 S East St
Suite I
Indianapolis, IN 46227-2091
Phone
(317) 780-5750
Fax
(317) 780-5755
NPI assigned
Mar 14, 2013
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Dr. Robbi Crain, PSY.D., HSPPNPI 1740358233
Title
Owner/Clinical Psychologist
Phone
(317) 780-5750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 20042288A IN Primary

Addresses

Primary practice location

6249 S East St
Suite I
Indianapolis, IN 46227-2091

Mailing address

PO Box 823
Beech Grove, IN 46107
Phone (317) 780-5750

National Provider Directory

National Provider Directory

Locations

6249 S East St
Ste I
Indianapolis, IN 46227
Phone (317) 780-1610

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1619218666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "46107",
            "telephone_number": "317-780-5750",
            "fax_number": "317-780-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 S EAST ST",
            "address_2": "SUITE I",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272091",
            "telephone_number": "317-780-5750",
            "fax_number": "317-780-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECH TREE CONSULTING AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "ROBBI",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "317-780-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042288A",
            "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 Feb 28, 2017; 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.