Individual provider Active NPI

John Guare, PHD

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1770749368
Registry record updated Aug 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20041443A Issued in IN
Practice address
6625 Network Way Ste 100
Intech Eleven
Indianapolis, IN 46278-0007
Phone
(317) 275-7010
Fax
(317) 275-7012
NPI assigned
Aug 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20041443A IN Primary

Addresses

Primary practice location

6625 Network Way Ste 100
Intech Eleven
Indianapolis, IN 46278-0007

Mailing address

9444 Carlyle Dr
Apt a
Indianapolis, IN 46240-3909
Phone (317) 525-8213

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

State licenses

LicenseStateTypeSpecialty
20041443AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health North Hospital, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217721600000",
    "number": "1770749368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 CARLYLE DR",
            "address_2": "APT A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403909",
            "telephone_number": "317-525-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 NETWORK WAY STE 100",
            "address_2": "INTECH ELEVEN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462780007",
            "telephone_number": "317-275-7010",
            "fax_number": "317-275-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARE",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041443A",
            "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 Aug 3, 2008; 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.