Indiana State University

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

INDIANA STATE UNIVERSITY

Doing business as

ISU Psychology Clinic-Faculty Practice Svcs

Practice address

450 N 7TH St
Root Hall
Terre Haute, IN 47809-1928

Phone

(812) 237-3317

Fax

(812) 237-8595

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. June Sprock, PH.D., HSPPNPI 1568560886

Title

Clinic Director

Phone

(812) 237-3317

Specialties & licenses 1

Addresses

Other names 1

• ISU Psychology Clinic-Faculty Practice Svcs Doing business as

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• June Sprock, PH.D.

  • Psychologist
  • Terre Haute, IN
  • NPI 1568560886
  NPD (past) Authorized official
• Thomas James Johnson, PH.D., HSPP

  • Cognitive & Behavioral Psychologist
  • Terre Haute, IN
  • NPI 1194880088

  Clinical

  NPD (past)
• Laura Juzeszyn, ATC

  • Athletic Trainer
  • Terre Haute, IN
  • NPI 1629355219
  NPD (past)
• Janis Leigh, PSY.D.

  • Psychologist
  • Terre Haute, IN
  • NPI 1164702452
  NPD (past)
• Nicole Mae Woodard, DPT

  • Physical Therapist
  • Terre Haute, IN
  • NPI 1326318296
  NPD (past)
• Shecanna R Seeley, M.P.T., A.T.C.

  • Physical Therapist
  • Robinson, IL
  • NPI 1508810391
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710097696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N 7TH ST",
            "address_2": "ROOT HALL",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478091928",
            "telephone_number": "812-237-3317",
            "fax_number": "812-237-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N 7TH ST",
            "address_2": "ROOT HALL",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478091928",
            "telephone_number": "812-237-3317",
            "fax_number": "812-237-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPROCK",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "812-237-3317",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D., HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISU Psychology Clinic-Faculty Practice Svcs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indiana Hearing LLC (Miracle Ear)
• Indiana Medical Services, LLC (Body In Motion)
• Indiana Medical Specialists, Inc
• Indiana MRI of Terre Haute, LLC
• Indiana State University
• Indiana West, PC
• Indianapolis Vamc
• Indianapolis Vamc
• Alison Hastey Ingalsbe, ATC, CSCS
• Janis C Ingebrigtsen, MD

• Clinical Psychologist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.