Individual provider Active NPI

Vickie Dalton, PSYD

  • Clinical Psychologist
  • Fishers, IN
National Provider Identifier
1689647117
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20041770A Issued in IN
Practice address
10100 Lantern Rd Ste 125
Fishers, IN 46037-7806
Phone
(317) 775-3942
NPI assigned
Feb 7, 2006
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20041770A IN Primary
Clinical Psychologist 103TC0700X 351706785 IN

Addresses

Primary practice location

10100 Lantern Rd Ste 125
Fishers, IN 46037-7806

Mailing address

10100 Lantern Rd Ste 125
Fishers, IN 46037-7806
Phone (317) 775-3942

Other identifiers 1

IdentifierTypeStateIssuer
000000310551OtherINANTHEM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@bloompsychologyservices.com Health Information Exchange (HIE)
Direct Messaging Address info@bloompsychologyservices.com Direct

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20041770AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Counseling Center, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1689647117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 LANTERN RD STE 125",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377806",
            "telephone_number": "317-775-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 LANTERN RD STE 125",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377806",
            "telephone_number": "317-775-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "VICKIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041770A",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "351706785",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000310551",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bloompsychologyservices.com",
            "affiliation": "N",
            "endpointDescription": "office manager",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10100 Lantern Rd Ste 125",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460377806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bloompsychologyservices.com",
            "affiliation": "N",
            "endpointDescription": "office manager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10100 Lantern Rd Ste 125",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460377806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.