Active NPI
Bryn Dungan, PSY.D.
- Clinical Psychologist
- Plainfield, IN
National Provider Identifier
1730459793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042567A
- Practice address
- 2680 E Main Street
Suite 304
Plainfield, IN 46168-2831 - Phone
- (317) 384-7196
- Fax
- (317) 203-7355
- NPI assigned
- Jan 9, 2012
- Last updated
- Apr 6, 2022
- Sex
- Female
- 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 | 20042567A | IN | Primary |
Addresses
Primary practice location
2680 E Main Street
Suite 304
Plainfield, IN 46168-2831
Mailing address
2680 E Main Street
Suite 304
Plainfield, IN 46168-2831
Phone (317) 384-7196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Oct 4, 2022 through Oct 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042567A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1730459793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 E MAIN STREET",
"address_2": "SUITE 304",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461682831",
"telephone_number": "317-384-7196",
"fax_number": "317-203-7353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 E MAIN STREET",
"address_2": "SUITE 304",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461682831",
"telephone_number": "317-384-7196",
"fax_number": "317-203-7355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNGAN",
"first_name": "BRYN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-09",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042567A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.