Individual provider Active NPI

Ladema Jean Gallagher, M.S.N.

  • Psychiatry Physician
  • Danville, IN
National Provider Identifier
1912089558
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
70000028A Issued in IN
Practice address
202 Myers Rd
Danville, IN 46122-9702
Phone
(317) 718-8436
Fax
(317) 718-8438
NPI assigned
Oct 20, 2006
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 70000028A IN
Psychiatry Physician 2084P0800X 70000028A IN Primary

Addresses

Primary practice location

202 Myers Rd
Danville, IN 46122-9702

Mailing address

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

Other practice location 1

2605 N Lebanon St
Lebanon, IN 46052-1476
Phone (765) 485-8000

Other names 1

  • Ladema Jean Poppa 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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000706 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 0244406387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1988
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
Credentials
Certified Nurse Specialist, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Psychotherapy PSC Psychiatry CurrentSince Feb 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

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

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1912089558",
    "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": "202 MYERS RD",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229702",
            "telephone_number": "317-718-8436",
            "fax_number": "317-718-8438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 N Lebanon St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460521476",
            "country_code": "US",
            "telephone_number": "765-485-8000",
            "fax_number": "765-485-8719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "LADEMA",
        "middle_name": "JEAN",
        "credential": "M.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "IN",
            "license": "70000028A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "70000028A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADEMA",
            "last_name": "POPPA",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, IN

Sources for this page

Verify at the official NPI Registry.