Active NPI
Deanna Dwenger, PSYD
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1871968552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042790A
- Practice address
- 7343 Clearvista Dr
Indianapolis, IN 46256-4602 - Phone
- (317) 585-5400
- NPI assigned
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042790A | IN | Primary |
Addresses
Primary practice location
7343 Clearvista Dr
Indianapolis, IN 46256-4602
Mailing address
4860 Robb St
Ste 201
Wheat Ridge, CO 80033-2162
Phone (888) 948-6789
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1871968552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 ROBB ST",
"address_2": "STE 201",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800332162",
"telephone_number": "888-948-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7343 CLEARVISTA DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564602",
"telephone_number": "317-585-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWENGER",
"first_name": "DEANNA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042790A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.