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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
6296 RUCKER RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-4888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316053770 | Michael Gaylor Kelley | Dentist | 6296 Rucker Rd, Ste A, Indianapolis, IN 46220-4852 | 2006-08-21 |
| 1063663201 | Amy Swier-vosnos | Clinical Neuropsychologist | 6296 Rucker Rd, Suite A, Indianapolis, IN 46220-4888 | 2008-10-07 |
| 1255547550 | Advanced Center for The Evaluation of Foot and Ankle Pain LLC | Podiatrist | 6296 Rucker Rd, Indianapolis, IN 46220-4852 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| 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] |
| 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 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on SUGA NEUROPSYCHOLOGICAL SERVICES, LLC.
| 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.