Active NPI
Brannon Walsmith Hart, HSPP
- Health Service Psychologist
- Indianapolis, IN
National Provider Identifier
1750885505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 20043107A
- Practice address
- 5317 E 16TH St
Indianapolis, IN 46218-4897 - Phone
- (317) 355-3700
- Fax
- (317) 355-7793
- NPI assigned
- Mar 19, 2018
- 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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 20043107A | IN | Primary |
Addresses
Primary practice location
5317 E 16TH St
Indianapolis, IN 46218-4897
Mailing address
1503 N Mitthoeffer Rd
Indianapolis, IN 46229-2425
Phone (317) 934-0800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1750885505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 N MITTHOEFFER RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462292425",
"telephone_number": "317-934-0800",
"fax_number": "317-355-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5317 E 16TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462184897",
"telephone_number": "317-355-3700",
"fax_number": "317-355-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "BRANNON",
"middle_name": "WALSMITH",
"credential": "HSPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "IN",
"license": "20043107A",
"primary": true
}
],
"identifiers": [],
"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 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.