Organization Active NPI

Psychological & Family Consultants, Inc

  • Counseling Psychologist
  • Elkhart, IN
National Provider Identifier
1962541227
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
20090115 Issued in IN
Legal business name
PSYCHOLOGICAL & FAMILY CONSULTANTS, INC
Practice address
926 E Jackson Blvd
Elkhart, IN 46516-4351
Phone
(574) 522-6292
Fax
(574) 522-0481
NPI assigned
Feb 5, 2007
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Roseann M Woodka, PH.D.NPI 1760522049
Title
Psychologist
Phone
(574) 522-6292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 20090115 IN Primary

Addresses

Primary practice location

926 E Jackson Blvd
Elkhart, IN 46516-4351

Mailing address

926 E Jackson Blvd
Elkhart, IN 46516-4351
Phone (574) 522-6292

National Provider Directory

National Provider Directory

Locations

926 E Jackson Blvd
Elkhart, IN 46516
Phone (574) 522-6292

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1962541227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164351",
            "telephone_number": "574-522-6292",
            "fax_number": "574-522-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164351",
            "telephone_number": "574-522-6292",
            "fax_number": "574-522-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL & FAMILY CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "WOODKA",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "574-522-6292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20090115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.