Active NPI
Doup Psychology Group LLC
- Clinical Psychologist
- Columbus, IN
National Provider Identifier
1710367131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042503A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201014370 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
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.