Active NPI
Jessicah Dawn Walker Herche, PHD, HSPP
- Health Service Psychologist
- Carmel, IN
National Provider Identifier
1629556535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 20043217B
- Practice address
- 600 E Carmel Dr Ste 263
Carmel, IN 46032-3066 - Phone
- (317) 747-0574
- NPI assigned
- Aug 2, 2018
- Last updated
- Feb 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 279-PY-PR-TEMP | MA | |
| Health Service Psychologist | 103TH0100X | 20043217B | IN | Primary |
Addresses
Primary practice location
600 E Carmel Dr Ste 263
Carmel, IN 46032-3066
Mailing address
12550 Corday CT
Fishers, IN 46038-1213
Phone (317) 747-0547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 1, 2026 through Feb 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043217B | IN | MD | Health Service Psychologist |
| 279-PY-PR-TEMP | MA | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cadence Psychology Studio | Health Service | Current | Accepting new patients |
| Maria P. Hanzlik, LLC | Past | Accepting new patients |
Locations
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Psychologist
- Indianapolis, IN
- NPI 1780283879
-
dba Integrated Psychological Center of Indiana (IPCI)
- Clinical Psychologist
- Indianapolis, IN
- NPI 1720574007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645833600000",
"number": "1629556535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12550 CORDAY CT",
"city": "FISHERS",
"state": "IN",
"postal_code": "460381213",
"telephone_number": "317-747-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E CARMEL DR STE 263",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323066",
"telephone_number": "317-747-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER HERCHE",
"first_name": "JESSICAH",
"middle_name": "DAWN",
"credential": "PHD, HSPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2022-02-26",
"certification_date": "2022-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MA",
"license": "279-PY-PR-TEMP",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "IN",
"license": "20043217B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.