Individual provider Active NPI

Kirstin Elliott-Noon, PSYD, HSPP

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1831992429
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20043894B Issued in IN
Practice address
50 E 91St St Ste 316
Indianapolis, IN 46240-1556
Phone
(317) 550-3221
Fax
(317) 550-3228
NPI assigned
Mar 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20043894B IN Primary

Addresses

Primary practice location

50 E 91St St Ste 316
Indianapolis, IN 46240-1556

Mailing address

50 E 91St St Ste 316
Indianapolis, IN 46240-1556
Phone (302) 521-0274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 20, 2026 through May 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20043894BINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria P. Hanzlik, LLC Clinical PastSince Mar 30, 2025 Accepting new patients

Organizations & group practices 1

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": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1831992429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 91ST ST STE 316",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401556",
            "telephone_number": "302-521-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 91ST ST STE 316",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401556",
            "telephone_number": "317-550-3221",
            "fax_number": "317-550-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT-NOON",
        "first_name": "KIRSTIN",
        "credential": "PSYD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043894B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.