Organization Active NPI

Suga Neuropsychological Services, LLC

  • Adult Mental Health Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1760802037
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SUGA NEUROPSYCHOLOGICAL SERVICES, LLC
Practice address
6296 Rucker Rd
Indianapolis, IN 46220-4888
Phone
(317) 823-9155
NPI assigned
Apr 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Dr. Leslie J Suga, PH.D.
Title
Manager
Phone
(317) 823-9155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

6296 Rucker Rd
Indianapolis, IN 46220-4888

Mailing address

8539 Tidewater Dr
Indianapolis, IN 46236-8917
Phone (317) 823-9155

National Provider Directory

National Provider Directory

Locations

6515 E 82nd St
Ste 210
Indianapolis, IN 46250
Phone (317) 559-0990

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1760802037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 TIDEWATER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368917",
            "telephone_number": "317-823-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 RUCKER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204888",
            "telephone_number": "317-823-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGA NEUROPSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "SUGA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-823-9155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Jun 27, 2014; 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.