IRIS M CRIDER-NASH (NPI# 1538103254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538103254 |
| Entity Type | Individual |
| Full Name | IRIS M CRIDER-NASH |
| Credential | PHD, HSPP |
| Practice Address |
5218 S East St Suite E-4 Indianapolis IN 46227-1900 |
| Practice Telephone | 3177810447 |
| Practice Fax Number | 3177810465 |
| Mailing Telephone | 3177810447 |
| Mailing Fax Number | 3177810465 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
20040287A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | VALUE OPTIONS | 067516 | 01 |
| IN | UBH | 58387816 | 01 |
| Street Address |
5218 S EAST ST SUITE E-4 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881861995 | Gail L Mercer | Counselor | 5218 S East St, Suite E-4, Indianapolis, IN 46227-1900 | 2008-05-08 |
| 1427180181 | Margaret A Wilson | Social Worker | 5218 S East St, Suite E-4, Indianapolis, IN 46227-1900 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649892985 | Debra Reisinger | Psychologist | 1002 Wishard Blvd Ste 3120, Indianapolis, IN 46202-2872 | 2020-05-09 |
| 1972547693 | Dionne Dynlacht | Psychologist | 12647 Geist Cove Dr, Indianapolis, IN 46236-7239 | 2006-06-15 |
| 1477162808 | Julia Lamotte | Psychologist | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-31 |
| 1619453222 | Abbey C Hines | Psychologist | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2018-07-17 |
| 1538654371 | Brett Alicia Enneking | Psychologist | 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-06-25 |
| 1629572789 | Elaine A Gilbert | Psychologist | 705 Riley Hospital Dr, Roc 4210, Indianapolis, IN 46202-5109 | 2018-03-22 |
| 1962959908 | Cynthia Pierre | Psychologist | 705 Riley Hospital Dr, Suite 4300, Indianapolis, IN 46202-5109 | 2016-09-07 |
| 1518314160 | Stephanie E Hullmann | Psychologist | 355 W 16th St, Ste 2800, Indianapolis, IN 46202-2207 | 2016-05-24 |
| 1871975771 | Maura L. Rouse | Psychologist | 705 Riley Hospital Dr, Ri 5837, Indianapolis, IN 46202-5109 | 2015-06-26 |
| 1952709867 | Katherine Nicole Schwartzkopf | Psychologist | 705 Riley Drive, Roc 4210, Indianapolis, IN 46202-5109 | 2014-12-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on IRIS M CRIDER-NASH.
| 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.