Stanley E. Osmunson, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040222A Issued in IN

Practice address

3850 Shore Dr Ste 303
Indianapolis, IN 46254-4693

Phone

(317) 328-1200

Fax

(317) 328-1200

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Westside Counseling & Psychologica Services, PC

  • Psychologist
  • Indianapolis, IN
  • NPI 1588868137
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659443240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SHORE DR STE 303",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544693",
            "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 STE 303",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544693",
            "telephone_number": "317-328-1200",
            "fax_number": "317-328-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMUNSON",
        "first_name": "STANLEY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040222A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000184223",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osm Logistics LLC
• Osman Clinic & Associates, P.C. (Osman Clinic & Associates)
• Joli Osman, MD
• Natalia Osman, PMHNP
• Vahid Osman, MD
• Ossip Management Solutions, LLC
• Ossip Optometry
• Ossip Optometry PC (Ossip Optometry)
• Ossip Optometry, P.C (Castleton Eye Care)
• Ossip Optometry, P.C. (Ossip Optometry)

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.