Suncrest Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SUNCREST PSYCHOLOGICAL SERVICES

Practice address

1241 Cumberland Ave Ste E
West Lafayette, IN 47906-1304

Phone

(765) 701-7900

NPI assigned

Dec 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Lonnie Dardeen

Title

Office Manager

Phone

(765) 701-7900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Renee Dardeen, PH.D.

  • Psychologist
  • West Lafayette, IN
  • NPI 1235382128
  NPD (past)

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1740057165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 CUMBERLAND AVE STE E",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061304",
            "telephone_number": "657-017-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 CUMBERLAND AVE STE E",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061304",
            "telephone_number": "765-701-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "DARDEEN",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-701-7900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Ann Stroup, CRNP
• Delma Trenience Suber
• Anu Subramanian, PH.D.
• Caitlin Suckow, RN
• Weize Sun, PHARMD
• Alayne K Sundstrom, DO
• Susannah Devault
• Jesse G Swopes
• Donald L Swoverland, D.D.S.
• Evelyn Sylla, LAT, ATC

• Clinical Psychologist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.