Active NPI
Steven James Couvillion, PH.D.
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1730196916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20010261
- Practice address
- 10293 N Meridian St
Suite 375
Indianapolis, IN 46290-1123 - Phone
- (317) 581-2288
- Fax
- (317) 581-2295
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20010261 | IN | Primary |
Addresses
Primary practice location
10293 N Meridian St
Suite 375
Indianapolis, IN 46290-1123
Mailing address
10293 N Meridian St
Suite 375
Indianapolis, IN 46290-1123
Phone (317) 581-2288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100064690A | Medicaid | IN |
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 |
|---|---|---|---|
| 20010261 | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Psychological Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Indianapolis, IN
- NPI 1124176961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1730196916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10293 N MERIDIAN ST",
"address_2": "SUITE 375",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462901123",
"telephone_number": "317-581-2288",
"fax_number": "317-581-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10293 N MERIDIAN ST",
"address_2": "SUITE 375",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462901123",
"telephone_number": "317-581-2288",
"fax_number": "317-581-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUVILLION",
"first_name": "STEVEN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20010261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100064690A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.