Midwest Psychological Center, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20040520A Issued in IN

Legal business name

MIDWEST PSYCHOLOGICAL CENTER, INC.

Practice address

525 E 38TH St
Indianapolis, IN 46205-2744

Phone

(317) 923-3930

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shelvy Haywood Keglar, PH.D.

Title

President

Phone

(317) 923-3930

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1790922078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052744",
            "telephone_number": "317-923-3930",
            "fax_number": "317-923-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052744",
            "telephone_number": "317-923-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PSYCHOLOGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2021-05-10",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "KEGLAR",
        "authorized_official_first_name": "SHELVY",
        "authorized_official_middle_name": "HAYWOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-923-3930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040520A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000183364",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200020330A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Glaucoma Associates
• Midwest Medical Associates LLC
• Midwest Medical Transport Company LLC
• Midwest Periodontal and Oral Reconstruction, P.C.
• Midwest Provider Group.DME
• Midwest Residential Services, Inc.
• Midwest Residential Services, Inc.
• Midwest Sleep Partners LLC
• Midwest Specialty Surgery Center, LLC
• Midwest Supervision and Evaluation

• Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.