Paul Kevin Bolinskey, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042565A Issued in IN

Practice address

Indiana State University Psychology Clinic
Root Hall
Terre Haute, IN 47809-0001

Phone

(812) 237-3317

Fax

(812) 237-4378

NPI assigned

Jan 20, 2012

Last updated

Jan 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wabash Valley Therapy LLCGroup PAC ID 4183957574, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Wabash Valley Therapy, LLC

  • Clinical Social Worker
  • Terre Haute, IN
  • NPI 1225695745
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1801167937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ALLENDALE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024751",
            "telephone_number": "812-299-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INDIANA STATE UNIVERSITY PSYCHOLOGY CLINIC",
            "address_2": "ROOT HALL",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478090001",
            "telephone_number": "812-237-3317",
            "fax_number": "812-237-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLINSKEY",
        "first_name": "PAUL",
        "middle_name": "KEVIN",
        "name_prefix": "Prof.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042565A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042565A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Boland, NP
• Paul Matt Boland, FNP-C
• Jasemine Bolden
• Samantha Bolin
• John A Bolinger, DO
• Jeffery A Bollenbacher, D.O.
• Valerie Bollenbacher, FNP-BC
• Angela Bonham, FNP
• Bonness Dentisty
• Robert Paul Bonness, DDS

• Clinical Psychologist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.