Individual provider Active NPI

Andrew Evan O'Neall, PSYD

  • Clinical Psychologist
  • Lafayette, IN
National Provider Identifier
1891927281
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042358A Issued in IN
Practice address
709 S 18TH St Ste C
Lafayette, IN 47905-1572
Phone
(765) 709-0500
Fax
(765) 709-9720
NPI assigned
Aug 18, 2009
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 24838 CA
Clinical Psychologist 103TC0700X 20042358A IN Primary

Addresses

Primary practice location

709 S 18TH St Ste C
Lafayette, IN 47905-1572

Mailing address

202 Myers Rd
Danville, IN 46122-9702
Phone (317) 718-8436

Other practice location 1

1260 N Dutton Ave
Ste 225
Santa Rosa, CA 95401-4659
Phone (707) 526-5424

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
I20230505000963 IN Practitioner - Clinical Psychologist 3971881376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendricks County Psychotherapy PSCGroup PAC ID 9133149420, 27 clinicians

Practice addresses (Care Compare)

202 Myers Rd
Danville, IN 46122-9702
Phone (317) 718-8436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24838CAMDAddiction (Substance Use Disorder) Counselor
PSY 24838CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Psychotherapy PSC CurrentSince May 15, 2023 Accepting new patients
Siyan Clinical Corporation PastSince Nov 2, 2016 Accepting new patients

Locations

202 Myers Rd
Danville, IN 46122
Phone (317) 718-8436

709 S 18th St
Ste C
Lafayette, IN 47905
Phone (765) 709-0500

6291 Cambridge Way
Ste 200
Plainfield, IN 46168
Phone (317) 718-8436

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1891927281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MYERS RD",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229702",
            "telephone_number": "317-718-8436",
            "fax_number": "317-718-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S 18TH ST STE C",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479051572",
            "telephone_number": "765-709-0500",
            "fax_number": "765-709-9720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 N Dutton Ave",
            "address_2": "Ste 225",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954014659",
            "country_code": "US",
            "telephone_number": "707-526-5424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEALL",
        "first_name": "ANDREW",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 24838",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042358A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.