Individual provider Active NPI

Nancy Jo Gemmer, PHD.H.S.P.P

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1821289497
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040468A Issued in IN
Practice address
8112 Hill Top LN
Indianapolis, IN 46256-2037
Phone
(317) 590-4297
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20040468A IN Primary
Psychologist 103T00000X 20040468A IN

Addresses

Primary practice location

8112 Hill Top LN
Indianapolis, IN 46256-2037

Mailing address

8112 Hill Top LN
Indianapolis, IN 46256-2037
Phone (317) 590-4297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040468AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary W. Lee Past Accepting new patients
Phonda Hackett, PSYD Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1821289497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 HILL TOP LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462562037",
            "telephone_number": "317-590-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 HILL TOP LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462562037",
            "telephone_number": "317-590-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMMER",
        "first_name": "NANCY",
        "middle_name": "JO",
        "credential": "PHD.H.S.P.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040468A",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040468A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.