Michael A Ashley, PHD
Individual provider Active NPI Clinical Psychologist · Swayzee, IN
NPI 1801899059 · NPPES record last updated Feb 27, 2013
Key facts
- NPI
- 1801899059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 20090231A (IN)
- Practice address
- 501 S Washington St
Swayzee, IN 46986-9578 - Phone
- (765) 661-1995
- Fax
- (888) 419-8515
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- R P Therapy LLC
Practice addresses (Care Compare)
6326 Constitution Dr
Fort Wayne, IN 46804-1518
Phone (260) 515-3275
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081223000023 | IN | Practitioner - Clinical Psychologist | 2668546045 |
Reassigns benefits to 2 organizations Practice locations: Swayzee, IN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onhealthcare LLC | Current |
Accepting new patients | |
| R P Therapy LLC | Current |
Accepting new patients | |
| Onhealthcare, LLC | Current |
Accepting new patients | |
| Onhealthcare LLC | Past | Accepting new patients |
Locations
6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275
8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20090231A | IN | Yes |
Addresses
Primary practice location
501 S Washington St
Swayzee, IN 46986-9578
Mailing address
501 S Washington St
Swayzee, IN 46986-9578
Phone (765) 661-1995
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33237 | Other | IN | NATIONAL REGISTRY OF HEALTH SERVICE PSYCHOLOGISTS |
| 200167170A | Medicaid | IN | |
| 11590722 | Other | IN | CAQH |
Other providers in Swayzee, IN
All providers in Swayzee, IN · Clinical Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.