Individual provider Active NPI

Josh Rainey, PHD

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1780067199
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20042852A Issued in IN
Practice address
5230 E Stop 11 Rd Ste 250
Indianapolis, IN 46237-6399
Phone
(317) 528-8921
Fax
(317) 528-6916
NPI assigned
Jul 2, 2015
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20042852A IN Primary

Addresses

Primary practice location

5230 E Stop 11 Rd Ste 250
Indianapolis, IN 46237-6399

Mailing address

PO Box 781008
Detroit, MI 48278-1008
Phone (317) 528-4800

Other practice location 1

221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 751-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007002914 IN Practitioner - Clinical Psychologist 2961710116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5230 E Stop 11 Rd
250 Franciscan Health Mo
Indianapolis, IN 46237-6399
Phone (317) 528-8921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20042852AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Psychologist CurrentSince Sep 1, 2015 Accepting new patients
Franciscan Health Indianapolis & Mooresville CurrentSince Oct 2, 2024 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc CurrentSince Sep 1, 2015 Accepting new patients
Franciscan Health Indianapolis & Mooresville Current Accepting new patients
Franciscan Health Indianapolis & Mooresville CurrentSince Oct 2, 2024 Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

1300 W Jefferson St
Ste C
Franklin, IN 46131
Phone (317) 736-8474

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

5230 E Stop 11 Rd
Ste 250
Indianapolis, IN 46237
Phone (317) 528-8921

5230 E Stop 11 Rd
Ste 250A
Indianapolis, IN 46237
Phone (317) 528-8921

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1780067199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781008",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781008",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 E STOP 11 RD STE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376399",
            "telephone_number": "317-528-8921",
            "fax_number": "317-528-6916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 N Celia Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473034609",
            "country_code": "US",
            "telephone_number": "765-751-2653",
            "fax_number": "765-747-1983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "JOSH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042852A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.