Individual provider Active NPI

Hannah Marie Versino, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Indianapolis, IN
National Provider Identifier
1659620524
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
20042939A Issued in IN
Practice address
5440 E Fall Creek Parkway North Dr Ste A2
Indianapolis, IN 46226-1463
Phone
(317) 324-8591
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 20042939A IN Primary

Addresses

Primary practice location

5440 E Fall Creek Parkway North Dr Ste A2
Indianapolis, IN 46226-1463

Mailing address

5440 E Fall Creek Parkway North Dr Ste A2
Indianapolis, IN 46226-1463
Phone (317) 324-8591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20042939AINMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Versino Psychological Services LLC CurrentSince Aug 13, 2023 Accepting new patients

Locations

5440 E Fall Creek Parkway North Dr
Ste A2
Indianapolis, IN 46226
Phone (317) 324-8591

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1659620524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 E FALL CREEK PARKWAY NORTH DR STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261463",
            "telephone_number": "317-324-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 E FALL CREEK PARKWAY NORTH DR STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261463",
            "telephone_number": "317-324-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSINO",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IN",
            "license": "20042939A",
            "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 Aug 8, 2023; 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.