Psychology Associates, P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

57000021A Issued in IN

Legal business name

PSYCHOLOGY ASSOCIATES, P.C.

Practice address

314 W Catalpa Dr
Suite E
Mishawaka, IN 46545-3194

Phone

(574) 254-1700

Fax

(574) 254-2930

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary W. Elliott, PH.D.

Title

President

Phone

(574) 254-1700

Specialties & licenses 5

Addresses

Other identifiers 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradford John Eaton, PH.D.

  • Clinical Neuropsychologist
  • Mishawaka, IN
  • NPI 1427068030
  NPD (past)
• Chad Robert Edwards, PH.D.

  • Clinical Neuropsychologist
  • Mishawaka, IN
  • NPI 1487924171
  NPD (past)
• Carol Erdman, PH.D.

  • Clinical Neuropsychologist
  • South Bend, IN
  • NPI 1831180710
  NPD (past)
• Jeffrey T Feathergill, PSY.D.

  • Clinical Psychologist
  • South Bend, IN
  • NPI 1982632329
  NPD (past)
• Julie Marie Pelletier, PSYD, HSPP

  • Clinical Psychologist
  • Mishawaka, IN
  • NPI 1588777353
  NPD (past)
• Heather R Romero, PHD

  • Clinical Psychologist
  • Mishawaka, IN
  • NPI 1366739096
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1639285232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W CATALPA DR",
            "address_2": "SUITE E",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453194",
            "telephone_number": "574-254-1700",
            "fax_number": "574-254-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W CATALPA DR",
            "address_2": "SUITE E",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453194",
            "telephone_number": "574-254-1700",
            "fax_number": "574-254-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-254-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "57000021A",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "57000021A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "57000021A",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IN",
            "license": "57000021A",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "IN",
            "license": "57000021A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Privia Medical Group Indiana, LLC
• Privia Medical Group Indiana, LLC
• Progressive Pediatric Therapy Inc.
• Ravin Janine Prucey, RBT
• Psych Pointe LLC
• Joseph J Pulvirenti, MD
• Kristene Qualls
• Margaret Ann Quate-Operacz, M.D.
• Kati Quiggle
• Hanna Raber, PHARMD

• Clinical Neuropsychologist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Clinical Neuropsychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.