Active NPI
Alisha Staples
- School Psychologist
- Martinsville, IN
National Provider Identifier
1891514147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 10229656
- Practice address
- 389 E Jackson St
Martinsville, IN 46151-1503 - Phone
- (765) 342-6641
- NPI assigned
- Oct 4, 2024
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 10229656 | IN | Primary |
Addresses
Primary practice location
389 E Jackson St
Martinsville, IN 46151-1503
Mailing address
389 E Jackson St
Martinsville, IN 46151-1503
Phone (765) 342-6641
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 |
|---|---|---|---|
| 10229656 | IN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1891514147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 E JACKSON ST",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461511503",
"telephone_number": "765-342-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 E JACKSON ST",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461511503",
"telephone_number": "765-342-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLES",
"first_name": "ALISHA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-04",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IN",
"license": "10229656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.