Locker Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LOCKER PSYCHOLOGICAL SERVICES, LLC

Practice address

480 W Navajo St Ste B
West Lafayette, IN 47906-1940

Phone

(765) 637-9200

Fax

(765) 637-9202

NPI assigned

Aug 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Taylor Kathleen Locker, PH.D.NPI 1982015764

Title

Owner

Phone

(765) 637-9200

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Kathleen Locker, PH.D.

  • Clinical Psychologist
  • West Lafayette, IN
  • NPI 1982015764
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Boswell, LP

  • Counseling Psychologist
  • West Lafayette, IN
  • NPI 1538632898
  Medicare reassignment Care Compare group NPD
• Kelly Renee Dardeen, PH.D.

  • Psychologist
  • West Lafayette, IN
  • NPI 1235382128
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1831615665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 W NAVAJO ST STE B",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061940",
            "telephone_number": "765-637-9200",
            "fax_number": "765-637-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W NAVAJO ST STE B",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061940",
            "telephone_number": "765-637-9200",
            "fax_number": "765-637-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKER PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "LOCKER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-637-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043054A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilly Hua Li
• Lauren Link, RD, CSSD
• Yidi Liu, DDS, MSD
• Liza R Simental, PHD HSPP PC
• Clementina P Lo Proto, PHD
• Taylor Kathleen Locker, PH.D.
• Justin Ryan Lockrem, M.D.
• Dennis G. Lockrey, MD
• Madison Logan
• Aidan Long

• Clinical Psychologist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.