Active NPI
Joseph Pepprock, ED.S.
- School Psychologist
- Covington, IN
National Provider Identifier
1720801418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 10102174
- Practice address
- 1329 2ND St
Covington, IN 47932-1009 - Phone
- (765) 231-3180
- NPI assigned
- Nov 1, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 10102174 | IN | Primary |
Addresses
Primary practice location
1329 2ND St
Covington, IN 47932-1009
Mailing address
1329 2ND St
Covington, IN 47932-1009
Phone (765) 231-3180
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10102174 | IN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1720801418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 2ND ST",
"city": "COVINGTON",
"state": "IN",
"postal_code": "479321009",
"telephone_number": "765-231-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 2ND ST",
"city": "COVINGTON",
"state": "IN",
"postal_code": "479321009",
"telephone_number": "765-231-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPROCK",
"first_name": "JOSEPH",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IN",
"license": "10102174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.