Individual provider Active NPI

Carol L. Murphy, PHD, HSPP

  • Psychologist
  • Muncie, IN
National Provider Identifier
1861720500
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040952A Issued in IN
Practice address
1904 W. Royale Drive
Muncie, IN 47304-2264
Phone
(765) 284-0043
Fax
(765) 284-4112
NPI assigned
Nov 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20040952A IN Primary

Addresses

Primary practice location

1904 W. Royale Drive
Muncie, IN 47304-2264

Mailing address

1904 W. Royale Drive
Muncie, IN 47304-2264
Phone (765) 284-0043

Other names 1

  • Carol L Baker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000675 IN Practitioner - Clinical Psychologist 4486683570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Door Health Services IncGroup PAC ID 5890696603, 40 clinicians

Practice addresses (Care Compare)

333 S Madison St
Muncie, IN 47305-2465
Phone 76528670004235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040952AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Services, Inc. CurrentSince Oct 31, 2019 Accepting new patients
Open Door Health Services, Inc. CurrentSince Oct 31, 2019 Accepting new patients
Open Door Health Services, Inc. Current Accepting new patients
Shadeland Anesthesia & Pain Associates Inc. Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations

2101 Jackson St
Ste 206
Anderson, IN 46016
Phone (765) 646-8523

333 S Madison St
Muncie, IN 47305
Phone (765) 287-3087

2600 W White River Blvd
Muncie, IN 47303
Phone (765) 254-5602

Interoperability endpoints

  • Direct secure messaging: carol.murphy.1@10844.direct.athenahealth.com

Organizations & group practices 6

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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1861720500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 W. ROYALE DRIVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042264",
            "telephone_number": "765-284-0043",
            "fax_number": "765-284-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 W. ROYALE DRIVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042264",
            "telephone_number": "765-284-0043",
            "fax_number": "765-284-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "CAROL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PHD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040952A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "BAKER",
            "middle_name": "L",
            "credential": "PHD, HSPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.