Organization Active NPI

Wellhome Psychology, PC

Doing business as Jennifer Dyarman-Hunter

  • Social Worker
  • Medaryville, IN
National Provider Identifier
1972106599
Registry record updated Dec 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
WELLHOME PSYCHOLOGY, PC
Doing business as
Jennifer Dyarman-Hunter
Practice address
15262 W 400 N
Medaryville, IN 47957-8107
Phone
(219) 804-6262
Fax
(877) 497-6001
NPI assigned
Nov 17, 2020
Last updated
Dec 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2024

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

Authorized official

Name
Dr. Jennifer Dyarman, PSYD LCSW LCACNPI 1770873853
Title
Director
Phone
(260) 413-6994

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
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

15262 W 400 N
Medaryville, IN 47957-8107

Mailing address

417 W 81St Ave # 132
Merrillville, IN 46410-5317
Phone (219) 804-6262

Other names 1

  • Jennifer Dyarman-Hunter Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201223000380 IN Part B Supplier - Clinic/Group Practice 3476965070 Receives reassigned benefits from 5 practitioners
Practice locations: Fort Wayne, IN; Merrillville, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735430400000",
    "number": "1972106599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W 81ST AVE # 132",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105317",
            "telephone_number": "219-804-6262",
            "fax_number": "877-497-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15262 W 400 N",
            "city": "MEDARYVILLE",
            "state": "IN",
            "postal_code": "479578107",
            "telephone_number": "219-804-6262",
            "fax_number": "877-497-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLHOME PSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "DYARMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "260-413-6994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD LCSW LCAC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Dyarman-Hunter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medaryville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; 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.