Organization Active NPI

Psychology Practice, PC

  • Health Service Psychologist
  • Schererville, IN
National Provider Identifier
1740991223
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
PSYCHOLOGY PRACTICE, PC
Practice address
222 Indianapolis Blvd Ste 207-5
Schererville, IN 46375-1276
Phone
(773) 888-3148
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Dr. Stephanie Mishevski, PSY.D.NPI 1649786708
Title
Ceo
Phone
(777) 388-8314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X Primary

Addresses

Primary practice location

222 Indianapolis Blvd Ste 207-5
Schererville, IN 46375-1276

Mailing address

222 Indianapolis Blvd Ste 207-5
Schererville, IN 46375-1276
Phone (773) 888-3148

National Provider Directory

National Provider Directory

Locations

222 Indianapolis Blvd
Ste 207-5
Schererville, IN 46375
Phone (773) 888-3148

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1740991223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 INDIANAPOLIS BLVD STE 207-5",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751276",
            "telephone_number": "773-888-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 INDIANAPOLIS BLVD STE 207-5",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751276",
            "telephone_number": "773-888-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "MISHEVSKI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "777-388-8314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.