Individual provider Active NPI

Angela D Lykins, PHD, HSPP

  • Clinical Psychologist
  • Muncie, IN
National Provider Identifier
1689617649
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040977 Issued in IN
Practice address
4221 N Broadway Ave
Muncie, IN 47303-1015
Phone
(765) 282-1750
Fax
(765) 282-9166
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20040977 IN Primary

Addresses

Primary practice location

4221 N Broadway Ave
Muncie, IN 47303-1015

Mailing address

4221 N Broadway Ave
Muncie, IN 47303-1015
Phone (765) 282-1750

Other identifiers 4

IdentifierTypeStateIssuer
000000181482OtherINANTHEM BC/BS
200415280MedicaidIN
084197000OtherINMAGELLAN HEALTH
200081780MedicaidIN

Other names 1

  • Miss Angela D Arthur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000843 IN Practitioner - Clinical Psychologist 5890745749 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Muncie, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

1185 W Carmel Dr
Suite D4
Carmel, IN 46032-8708
Phone (317) 569-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040977INMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 1, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Apr 1, 2024 Accepting new patients
Hillcroft Services Inc Past Accepting new patients
Lykins Counseling Clinic PastSince Aug 31, 2015 Accepting new patients

Locations

1185 W Carmel Dr
Ste D4
Carmel, IN 46032
Phone (317) 208-2300

120 S Main St
Elkhart, IN 46516
Phone (574) 236-3905

1499 Windhorst Way
Ste 220
Greenwood, IN 46143
Phone (317) 569-5433

424 Perry St
La Porte, IN 46350
Phone (219) 809-0333

4221 N Broadway Ave
Muncie, IN 47303
Phone (765) 282-7150

300 S Saint Louis Blvd
Ste 150
South Bend, IN 46617
Phone (574) 406-1520

Practitioners & affiliated clinicians

Practitioners 2

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

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1689617649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 N BROADWAY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031015",
            "telephone_number": "765-282-1750",
            "fax_number": "765-282-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 N BROADWAY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031015",
            "telephone_number": "765-282-1750",
            "fax_number": "765-282-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKINS",
        "first_name": "ANGELA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PHD, HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000181482",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200415280",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH",
            "identifier": "084197000",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200081780",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ARTHUR",
            "middle_name": "D",
            "prefix": "MISS",
            "credential": "PHD, HSPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.