Individual provider Active NPI

Michele C. Thorne, PHD, HSPP

  • Clinical Psychologist
  • Carmel, IN
National Provider Identifier
1831354711
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042258A Issued in IN
Practice address
2159 Glebe St Ste 270
Carmel, IN 46032-7372
Phone
(317) 779-2260
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 20042258A IN Primary
Clinical Child & Adolescent Psychologist 103TC2200X 20042258 IN

Addresses

Primary practice location

2159 Glebe St Ste 270
Carmel, IN 46032-7372

Mailing address

2159 Glebe St Ste 270
Carmel, IN 46032-7372
Phone (317) 779-2260

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
20042258AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Wellness Associates LLC Clinical CurrentSince Apr 9, 2024 Accepting new patients
Indiana University Psychiatric Associates, Inc. Clinical PastSince Dec 18, 2003 Accepting new patients

Locations

2159 Glebe St
Ste 270
Carmel, IN 46032
Phone (317) 660-5205

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1831354711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 GLEBE ST STE 270",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327372",
            "telephone_number": "317-779-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2159 GLEBE ST STE 270",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327372",
            "telephone_number": "317-779-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "MICHELE",
        "middle_name": "C.",
        "credential": "PHD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042258A",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IN",
            "license": "20042258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.