DR. ANN M KLEDZIK (NPI# 1790989671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790989671 |
| Entity Type | Individual |
| Full Name | DR. ANN M KLEDZIK |
| Credential | M.D. |
| Practice Address |
702 Barnhill Dr #4300 Indianapolis IN 46202-5128 |
| Practice Telephone | 3172748162 |
| Mailing Telephone | 3172748162 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2012-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01065931A | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
11012166A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200930500 | 05 |
| Street Address |
702 BARNHILL DR #4300 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960004 | Jodi L Smith | Neurological Surgery | 702 Barnhill Dr, Suite 1134, Indianapolis, IN 46202-5128 | 2005-05-27 |
| 1932697976 | Allysa H Nagy | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-25 |
| 1710474770 | David Joseph Manring | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-16 |
| 1447747662 | Elizabeth Elsie Nagel | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-13 |
| 1952808156 | Victoria Byrd Sharaf | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202 | 2018-04-12 |
| 1598262214 | Sasha Kapil | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-09 |
| 1386141000 | Nematullah Sharaf | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-09 |
| 1295232908 | Harrison Monaghan Luttrell | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-09 |
| 1366949299 | Christopher James Steele | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-08 |
| 1013413293 | Jeffrey Dylan Hall | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821060294 | Michael Welling | Psychiatry & Neurology | 2040 Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2006-02-01 |
| 1184616294 | Fadia T Aldahan | Psychiatry & Neurology | 5502 East 16th Street, Suite A21, Indianapolis, IN 46218-4932 | 2005-08-16 |
| 1700337920 | Kledzik Psychiatric LLC | Psychiatry & Neurology | 9245 N Meridian St, 225, Indianapolis, IN 46260-1836 | 2016-10-24 |
| 1225477409 | Huma M Hosain | Psychiatry & Neurology | 355 W 16th St, #2364, Indianapolis, IN 46202-2207 | 2013-06-20 |
| 1033552310 | Axon Health Associates, LLC | Psychiatry & Neurology | 10585 N Meridian St, Suite 201, Indianapolis, IN 46290-1069 | 2013-04-16 |
| 1235422429 | Genalynne Carwile Mooneyham | Psychiatry & Neurology | 1111 W 10th St, #201, Indianapolis, IN 46202-4800 | 2011-05-19 |
| 1396924742 | Correctional Management Company | Psychiatry & Neurology | 9000 Keystone Xing, Suite 1040, Indianapolis, IN 46240-2118 | 2007-11-01 |
| 1740401421 | Melisa Ybarra Martinez | Psychiatry & Neurology | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2007-05-01 |
| 1194819714 | Robert Peter Mohlman | Psychiatry & Neurology | 320 North Tibbs Avenue, Indianapolis, IN 46222 | 2006-10-03 |
| 1598869786 | Susanne Blix | Psychiatry & Neurology | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2006-09-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on DR. ANN M KLEDZIK.
| 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.