Organization Active NPI

Doup Psychology Group LLC

  • Clinical Psychologist
  • Columbus, IN
National Provider Identifier
1710367131
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042503A Issued in IN
Legal business name
DOUP PSYCHOLOGY GROUP LLC
Practice address
424 Washington St Ste 7
Columbus, IN 47201-6790
Phone
(812) 657-4784
Fax
(812) 379-8068
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Dawn A Doup, PSY.D.
Title
Licensed Psychologist/Owner
Phone
(812) 657-4784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 20042503A IN Primary

Addresses

Primary practice location

424 Washington St Ste 7
Columbus, IN 47201-6790

Mailing address

450 Jackson St Unit 1495
Columbus, IN 47202-2860
Phone (812) 657-4784

Other identifiers 1

IdentifierTypeStateIssuer
201014370MedicaidIN

National Provider Directory

National Provider Directory

Locations

450 Jackson St
Unit 1495
Columbus, IN 47202

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1710367131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 JACKSON ST UNIT 1495",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472022860",
            "telephone_number": "812-657-4784",
            "fax_number": "812-379-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 WASHINGTON ST STE 7",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016790",
            "telephone_number": "812-657-4784",
            "fax_number": "812-379-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUP PSYCHOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "DOUP",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "812-657-4784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042503A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201014370",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.