SUGA NEUROPSYCHOLOGICAL SERVICES, LLC


Address: 6296 Rucker Rd, Indianapolis, IN 46220-4888
Phone: 3178239155

SUGA NEUROPSYCHOLOGICAL SERVICES, LLC (NPI# 1760802037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760802037
Entity Type Organization
Organization Name SUGA NEUROPSYCHOLOGICAL SERVICES, LLC
Practice Address 6296 Rucker Rd
Indianapolis
IN 46220-4888
Mailing Address 8539 Tidewater Dr
Indianapolis
IN 46236-8917
Practice Telephone 3178239155
Mailing Telephone 3178239155
Enumeration Date 2014-04-24
Last Update Date 2014-06-27
Authorized Official Name DR. LESLIE J SUGA (MANAGER)
Authorized Official Telephone 3178239155
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 6296 RUCKER RD
City INDIANAPOLIS
State IN
Zip Code 46220-4888

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316053770 Michael Gaylor Kelley Dentist 6296 Rucker Rd, Ste A, Indianapolis, IN 46220-4852 2006-08-21
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1255547550 Advanced Center for The Evaluation of Foot and Ankle Pain LLC Podiatrist 6296 Rucker Rd, Indianapolis, IN 46220-4852 2007-05-15

Providers in the same zip code

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1356866834 Andrea Elaine Tennancour Nurse Practitioner My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 2017-08-07
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922605864 Connected In Community, LLC Clinic/Center 5625 N German Church Rd Ste 105, Indianapolis, IN 46235-8513 2020-10-05
1932713054 Ana Mental Health Counseling, LLC Clinic/Center 10831 Snowdrop Way, Indianapolis, IN 46235-3561 2020-09-04
1285251421 Circle City Iop LLC Clinic/Center 6202 Carrollton Ave, Indianapolis, IN 46220-1925 2020-07-04
1023658382 Vision Wealth Group Clinic/Center 3333 N Illinois St Ste 14, Indianapolis, IN 46208-4682 2020-01-14
1659928794 Original Housing Program Clinic/Center 3539 N College Ave # 1, Indianapolis, IN 46205-3755 2019-08-22
1700382892 Sayre Counseling Services, LLC Clinic/Center 1311 W 96th St Ste 105, Indianapolis, IN 46260-1173 2018-04-05
1316446628 Moses Mental Health Clinic/Center 1933 Central Ave, Indianapolis, IN 46202-1610 2018-02-02
1447508254 Choices Coordinated Care Solutions, Inc. Clinic/Center 7941 Castleway Drive, Indianapolis, IN 46250 2012-08-28
1831428341 Integrative Health Resources, LLC Clinic/Center 3802 W 96th St Ste 220, Indianapolis, IN 46268-2916 2009-12-11
1356674329 Solace Mental Health Services Clinic/Center 8840 Michigan Rd, Suite 103, Indianapolis, IN 46268-1440 2009-09-09
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Competitor

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City INDIANAPOLIS
Zip Code 46220

Improve Information

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Dataset Information

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.

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