Organization Active NPI

Ericka Swanson PSYD Inc.

  • Psychologist
  • Munster, IN
National Provider Identifier
1881222016
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ERICKA SWANSON PSYD INC.
Practice address
9305 Calumet Ave Ste A2
Munster, IN 46321-2888
Phone
(219) 805-0451
NPI assigned
Apr 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Christopher Hoover
Title
Office Manager
Phone
(219) 688-6158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

9305 Calumet Ave Ste A2
Munster, IN 46321-2888

Mailing address

14917 98TH Ave
Dyer, IN 46311-2944
Phone (219) 688-6158

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drswanson@istherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210304002064 IN Part B Supplier - Clinic/Group Practice 5496161150 Receives reassigned benefits from 1 practitioner
Practice locations: Munster, IN

National Provider Directory

National Provider Directory

Locations

9305 Calumet Ave
Ste A2
Munster, IN 46321
Phone (219) 805-0451

9305 Calumet Ave
Ste C2
Munster, IN 46321
Phone (219) 805-0451

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1881222016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14917 98TH AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112944",
            "telephone_number": "219-688-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 CALUMET AVE STE A2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212888",
            "telephone_number": "219-805-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKA SWANSON PSYD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-688-6158"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drswanson@istherapy.com",
            "affiliation": "N",
            "endpointDescription": "this is an encrypted email account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9305 Calumet Ave Ste A2",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.