Organization Active NPI

CPD3, Inc.

Doing business as Center for Psychological Development

  • Mental Health Counselor
  • Muncie, IN
National Provider Identifier
1821634460
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CPD3, INC.
Doing business as
Center for Psychological Development
Practice address
2205 N Wheeling Ave
Muncie, IN 47303-1602
Phone
(765) 287-1922
Fax
(765) 287-9017
NPI assigned
Nov 19, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Tammy Lampke
Title
Owner/Manager
Phone
(765) 287-1922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2205 N Wheeling Ave
Muncie, IN 47303-1602

Mailing address

2205 N Wheeling Ave
Muncie, IN 47303-1602
Phone (765) 287-1922

Other names 1

  • Center for Psychological Development Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200310000323 IN Part B Supplier - Clinic/Group Practice 2264860071 Receives reassigned benefits from 3 practitioners
Practice locations: Muncie, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1821634460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031602",
            "telephone_number": "765-287-1922",
            "fax_number": "765-287-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031602",
            "telephone_number": "765-287-1922",
            "fax_number": "765-287-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPD3, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "LAMPKE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "765-287-1922"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Psychological Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.