NPIMap

Organization Active NPI

Louise Miracle, PHD, HSPP, Inc.

  • Psychologist
  • Bloomington, IN
National Provider Identifier
1629229323
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040642A Issued in IN
Legal business name
LOUISE MIRACLE, PHD, HSPP, INC.
Practice address
2525 W. Vernal Pike
Bloomington, IN 47404
Phone
(812) 339-4877
Fax
(812) 339-4877
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Louise Miracle, PH.D., HSPPNPI 1477579290
Title
Psychologist/President
Phone
(812) 339-4877

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 20040642A IN Primary

Addresses

Primary practice location

2525 W. Vernal Pike
Bloomington, IN 47404

Mailing address

P.O. Box 3155
Bloomington, IN 47402
Phone (812) 339-4877

National Provider Directory

National Provider Directory

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": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1629229323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3155",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47402",
            "telephone_number": "812-339-4877",
            "fax_number": "812-339-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W. VERNAL PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47404",
            "telephone_number": "812-339-4877",
            "fax_number": "812-339-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISE MIRACLE, PHD, HSPP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "MIRACLE",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "812-339-4877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., HSPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040642A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.