Active NPI
Ceola Digby-Berry, PHD. HSPP
- Counseling Psychologist
- Muncie, IN
National Provider Identifier
1689787855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 20040153A
- Practice address
- 3111 W Jackson St
Muncie, IN 47304-4371 - Phone
- (765) 284-0879
- Fax
- (765) 284-1480
- NPI assigned
- Aug 15, 2006
- Last updated
- May 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 20040153A | IN | Primary |
Addresses
Primary practice location
3111 W Jackson St
Muncie, IN 47304-4371
Mailing address
3111 W Jackson St
Muncie, IN 47304-4371
Phone (765) 284-0879
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000186182 | Other | IN | ANTHEM BCBS |
| 100333710 | Medicaid | IN | |
| 163150000 | Other | IN | MAGELLAN |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20040153A | IN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amh, Inc | Past | Accepting new patients | |
| Central Indiana OB/GYN, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Muncie, IN
- NPI 1265524383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1689787855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 W JACKSON ST",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473044371",
"telephone_number": "765-284-0879",
"fax_number": "765-284-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 W JACKSON ST",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473044371",
"telephone_number": "765-284-0879",
"fax_number": "765-284-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGBY-BERRY",
"first_name": "CEOLA",
"credential": "PHD. HSPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20040153A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000186182",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100333710",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "163150000",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.