DR. NATHAN LARSON (NPI# 1306028295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306028295 |
| Entity Type | Individual |
| Full Name | DR. NATHAN LARSON |
| Credential | PSY.D,, HSPP |
| Practice Address |
9106 N Meridian St Suite 100 Indianapolis IN 46260-1884 |
| Practice Telephone | 3175759111 |
| Practice Fax Number | 3175714470 |
| Mailing Telephone | 3175759111 |
| Mailing Fax Number | 3175714470 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20042106A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200888350 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366949455 | Nathan Larson | Preventive Medicine | 601 Quincy St., Athletics / Paavo Nurmi Gym, Hancock, MI 49930-4993 | 2018-04-06 |
| 1790030716 | Nathan L Larson | Podiatrist | 520 Birchwood Ave Ste A, Bellingham, WA 98225-1700 | 2012-07-16 |
| 1760757371 | Nathan Larson | Dentist | 86ds/sgd, Unit 3215, Apo, AE 09094 | 2012-03-14 |
| 1891283271 | Nathan Scott Larson | Community Health Worker | 430 E 450 S, Clearfield, UT 84015-1736 | 2018-05-01 |
| 1073051157 | Nathan P Larson | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-02-08 |
| 1255683777 | Nathan S Larson | Nurse Anesthetist, Certified Registered | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2012-10-08 |
| 1427194299 | Nathan Larson | Social Worker | 311 S Main St, Suite 100, O Fallon, MO 63366-2807 | 2007-01-29 |
| Street Address |
9106 N MERIDIAN ST SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821049636 | Stacey Williams Salamon | Social Worker | 9106 N Meridian St, Ste 100, Indianapolis, IN 46260 | 2006-05-15 |
| 1700330958 | Megan Skelding | Nurse Practitioner | 9106 N Meridian St, Suite 100, Indianapolis, IN 46260-1884 | 2016-08-04 |
| 1477929149 | Chelsey Brophy | Psychologist | 9106 N Meridian St, Suite 100, Indianapolis, IN 46260-1884 | 2015-08-18 |
| 1780826552 | Janel Marie Burchfield | Psychologist | 9106 N Meridian St, Indianapolis, IN 46260-1884 | 2009-03-25 |
| 1801035589 | Childrens Resource Group | Psychologist | 9106 N Meridian St, Suite 100, Indianapolis, IN 46260-1884 | 2009-02-19 |
| 1104031848 | Jay A Hughes | Dentist | 9106 N Meridian St, Suite 250, Indianapolis, IN 46260-1884 | 2007-05-14 |
| 1063504231 | Tonya Foreman | Psychiatry & Neurology | 9106 N Meridian St, Ste 100, Indianapolis, IN 46260-1884 | 2006-09-28 |
| 1902849003 | Julie Thompson Steck | Psychologist | 9106 N Meridian St, Ste 100, Indianapolis, IN 46260 | 2006-06-14 |
| 1740223791 | Jennifer Treese Levett | Speech-Language Pathologist | 9106 N Meridian St, Ste 100, Indianapolis, IN 46260 | 2006-06-14 |
| 1023055894 | David J Posey | Psychiatry & Neurology | 9106 N Meridian St, Ste 210, Indianapolis, IN 46260 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1285128850 | Abigail Cole | Psychologist | 6314 Rucker Rd Ste A, Indianapolis, IN 46220-4800 | 2018-06-18 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1720515893 | Josie Gronbach | Psychologist | 50 E 91st St Ste 316, Indianapolis, IN 46240-1556 | 2017-05-18 |
| 1821469891 | Emma Carter | Psychologist | 603 E Washington St Fl 9, Indianapolis, IN 46204 | 2015-10-15 |
| 1316385081 | Megan A Orr | Psychologist | 2001 W 86th St Fl 7, Indianapolis, IN 46260-1902 | 2013-06-04 |
| 1255775490 | Psychservices Indiana LLC | Psychologist | 5924 1/2 Hillside Avenue East Dr, Indianapolis, IN 46220-2414 | 2013-04-18 |
| 1740557206 | Michael Eric O'brien | Psychologist | 5336 Elmwood Ave, Indianapolis, IN 46203-6023 | 2011-11-28 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on DR. NATHAN LARSON.
| 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.