NPIMap

Organization Active NPI

Pelland Psychological Services LLC

  • Clinical Psychologist
  • Terre Haute, IN
National Provider Identifier
1972713295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040569A Issued in IN
Legal business name
PELLAND PSYCHOLOGICAL SERVICES LLC
Practice address
1400 E Pugh Dr
Suite 14
Terre Haute, IN 47802-3942
Phone
(812) 235-2600
Fax
(812) 235-0571
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paula Frances Pelland, PSY.D.NPI 1477620854
Title
Owner & Manager
Phone
(812) 235-2600

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 20040569A IN Primary

Addresses

Primary practice location

1400 E Pugh Dr
Suite 14
Terre Haute, IN 47802-3942

Mailing address

1400 E Pugh Dr
Suite 14
Terre Haute, IN 47802-3942
Phone (812) 235-2600

Other identifiers 1

IdentifierTypeStateIssuer
000000476204OtherINANTHEM BC & BS PIN

National Provider Directory

National Provider Directory

Locations

1400 E Pugh Dr
Ste 14
Terre Haute, IN 47802
Phone (812) 235-2600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972713295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E PUGH DR",
            "address_2": "SUITE 14",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023942",
            "telephone_number": "812-235-2600",
            "fax_number": "812-235-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E PUGH DR",
            "address_2": "SUITE 14",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023942",
            "telephone_number": "812-235-2600",
            "fax_number": "812-235-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLAND PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELLAND",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER & MANAGER",
        "authorized_official_telephone_number": "812-235-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040569A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS PIN",
            "identifier": "000000476204",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.