Organization Active NPI

DKR Psychological Services, Inc.

  • Clinical Psychologist
  • Terre Haute, IN
National Provider Identifier
1780862672
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20041729A Issued in IN
Legal business name
DKR PSYCHOLOGICAL SERVICES, INC.
Practice address
1400 E Pugh Dr
Suite 10
Terre Haute, IN 47802-3942
Phone
(812) 870-5660
Fax
(812) 235-2929
NPI assigned
Feb 4, 2008
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dianna K Rupska, PSY.D
Title
Owner
Phone
(812) 870-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 20041729A IN Primary

Addresses

Primary practice location

1400 E Pugh Dr
Suite 10
Terre Haute, IN 47802-3942

Mailing address

1400 E Pugh Dr
Suite 10
Terre Haute, IN 47802-3942
Phone (812) 870-5660

Other identifiers 1

IdentifierTypeStateIssuer
2501409OtherCIGNA BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory

Locations

1400 E Pugh Dr
Ste 10
Terre Haute, IN 47802
Phone (812) 236-9569

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780862672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E PUGH DR",
            "address_2": "SUITE 10",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023942",
            "telephone_number": "812-870-5660",
            "fax_number": "812-235-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E PUGH DR",
            "address_2": "SUITE 10",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023942",
            "telephone_number": "812-870-5660",
            "fax_number": "812-235-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKR PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RUPSKA",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-870-5660",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041729A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2501409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.