Hauschild Psychological & Counseling Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040731A Issued in IN

Legal business name

HAUSCHILD PSYCHOLOGICAL & COUNSELING SERVICES, INC

Practice address

1910 Saint Joe Center Rd
Suite 44
Fort Wayne, IN 46825-5000

Phone

(260) 471-8033

Fax

(260) 471-8107

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Jeffrey Hauschild, PSY.D.

Title

President

Phone

(260) 471-8033

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851427546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD",
            "address_2": "SUITE 44",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-471-8033",
            "fax_number": "260-471-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD",
            "address_2": "SUITE 44",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-471-8033",
            "fax_number": "260-471-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAUSCHILD PSYCHOLOGICAL & COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAUSCHILD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-471-8033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040731A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000181123",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carissa Marie Hatton
• Kristin Hauck, PA-C
• Thomas Richard Hauck, RPH
• Christine S Hauk, LPN
• Kate Marie Hauke
• Daniel Jeffrey Hauschild, PSY.D.
• Havens Counseling, Inc.
• Marjorie L Havens, LMFT
• Stephanie Haverstock
• Crystal Havins

• Clinical Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.