COMPREHENSIVE NEUROPSYCHOLOGY OF INDIANA (NPI# 1033758040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033758040 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE NEUROPSYCHOLOGY OF INDIANA |
| Practice Address |
10293 N Meridian St Ste 210 Indianapolis IN 46290-1079 |
| Practice Telephone | 3175812292 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2020-03-20 |
| Authorized Official Name | DR. AYCA BYERLEY (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 3175812922 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
10293 N MERIDIAN ST STE 210 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46290-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003833096 | Raymond W Horn | Clinical Neuropsychologist | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2006-07-16 |
| 1528532561 | Pamela Garland Freese | Counselor | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2019-01-13 |
| 1467832626 | Ayca Byerley | Clinical Neuropsychologist | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2015-06-03 |
| 1174871370 | Christopher Sullivan Phd PC | Psychologist | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2012-08-17 |
| 1730480658 | Crystal Killilea Ramos | Clinical Neuropsychologist | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2010-11-09 |
| 1245550748 | Andrea R Moreau-o'donnell | Clinical Neuropsychologist | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2010-06-07 |
| 1144454265 | Christopher Sullivan Phd | Clinical Neuropsychologist | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2009-05-04 |
| 1114946084 | Christopher Sullivan | Clinical Neuropsychologist | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821548777 | American Behavioral Counseling | Social Worker | 10386 Spring Highland Dr, Indianapolis, IN 46290 | 2016-10-04 |
| 1518042431 | James Lamar Jones | Psychologist | 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 | 2006-10-26 |
| 1437245917 | Bradley Scott Gunter | Physical Therapy Assistant | 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 | 2006-10-04 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1023534815 | Mitchell James Vansumeren | Psychologist | 10291 N Meridian St Ste 310, Indianapolis, IN 46290 | 2017-08-14 |
| 1801281670 | Elizabeth Tibbs | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290 | 2015-03-30 |
| 1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
| 1528333861 | Edward Mark Shmukler | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-03-20 |
| 1386938272 | Bryce S Lynn | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2011-06-08 |
| 1063610301 | Babar Sultan | Otolaryngology | 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 | 2007-07-09 |
| Find all providers in zip 46290 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497273015 | Jana Beth Dykstra | Clinical Neuropsychologist | 355 W 16th Street Goodman Hall, Indianapolis, IN 46202 | 2017-09-04 |
| 1558779355 | Neurobehavioral Consultants, LLC | Clinical Neuropsychologist | 4356 N College Ave, Indianapolis, IN 46205-1932 | 2014-07-24 |
| 1306170626 | Elizabeth Begyn | Clinical Neuropsychologist | 541 Clinical Dr # Cl285, Indianapolis, IN 46202-5233 | 2009-09-21 |
| 1215101696 | Michelle Anne Keiski | Clinical Neuropsychologist | 355 W 16th St Ste 4700, Indianapolis, IN 46202-2285 | 2008-04-17 |
| 1447477088 | Robert Nolan Mckinney | Clinical Neuropsychologist | 2596 N Girls School Rd, Indianapolis, IN 46214-2105 | 2007-04-18 |
| 1003833096 | Raymond W Horn | Clinical Neuropsychologist | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2006-07-16 |
| 1255327748 | Gwen C Sprehn | Clinical Neuropsychologist | Dept of Neurology Indiana University School of Med, 541 Clinical Drive (cl-299), Indianapolis, IN 46202 | 2005-09-21 |
| 1972595684 | Leslie Jay Suga | Clinical Neuropsychologist | 6515 E 82nd St, Suite 210, Indianapolis, IN 46250-1576 | 2005-08-18 |
| 1285639476 | Odie L Bracy IIi | Clinical Neuropsychologist | 6555 Carrollton Ave, Indianapolis, IN 46220-1664 | 2005-06-15 |
| 1811506769 | Midwest Supervision and Evaluation | Clinical Neuropsychologist | 450 E 96th St Ste 500, Indianapolis, IN 46240-3760 | 2020-07-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46290 |
Please comment or provide details below to improve the information on COMPREHENSIVE NEUROPSYCHOLOGY OF INDIANA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.