Midwest Supervision and Evaluation

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

Legal business name

MIDWEST SUPERVISION AND EVALUATION

Practice address

450 E 96TH St Ste 500
Indianapolis, IN 46240-3760

Phone

(317) 476-7272

Fax

(317) 762-7916

NPI assigned

Jul 27, 2020

Last updated

Jul 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Deloney, PHDNPI 1609019983

Title

Owner/Provider

Phone

(317) 476-7272

Specialties & licenses 2

Addresses

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.

• Courtney Gale Deloney, PHD

  • Psychologist
  • Fort Wayne, IN
  • NPI 1609019983
  NPD Authorized official

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1811506769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 E US HIGHWAY 36 STE 123",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237964",
            "telephone_number": "317-476-7272",
            "fax_number": "317-762-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 96TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403760",
            "telephone_number": "317-476-7272",
            "fax_number": "317-762-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SUPERVISION AND EVALUATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "DELONEY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "317-476-7272",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Psychological Center, Inc.
• Midwest Residential Services, Inc.
• Midwest Residential Services, Inc. (Midwest Home Health Care)
• Midwest Sleep Partners LLC
• Midwest Specialty Surgery Center, LLC
• Midwest Wellness LLC (MD Medical Weightloss and Wellness Centers)
• Midwest Wellness LLC (MD Medical Weight loss and Wellness Center)
• Midwesttaxi
• Theresa Miele, MA, LMHCA
• Tamara Lee Mielock, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.