Active NPI
Gena Novel Ehrhardt Padgett
- School Psychologist
- Lafayette, IN
National Provider Identifier
1861229593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1437031
- Practice address
- 1840 S 18TH St
Lafayette, IN 47905-2012 - Phone
- (765) 771-6006
- Fax
- (765) 772-4775
- NPI assigned
- Sep 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1437031 | IN | Primary |
Addresses
Primary practice location
1840 S 18TH St
Lafayette, IN 47905-2012
Mailing address
1840 S 18TH St
Lafayette, IN 47905-2012
Phone (765) 771-6006
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1437031 | IN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1861229593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 S 18TH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479052012",
"telephone_number": "765-771-6006",
"fax_number": "765-772-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 S 18TH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479052012",
"telephone_number": "765-771-6006",
"fax_number": "765-772-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRHARDT PADGETT",
"first_name": "GENA",
"middle_name": "NOVEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IN",
"license": "1437031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.