PERSONAL DEVELOPMENT ASSOCIATES


Address: 3225 North Meridian Street, Suite 200, Indianapolis, IN 46208-4680
Phone: 3179236093

PERSONAL DEVELOPMENT ASSOCIATES (NPI# 1801972203) 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) 1801972203
Entity Type Organization
Organization Name PERSONAL DEVELOPMENT ASSOCIATES
Practice Address 3225 North Meridian Street
Suite 200
Indianapolis
IN 46208-4680
Practice Telephone 3179236093
Practice Fax Number 3179279833
Mailing Telephone 3179236093
Mailing Fax Number 3179279833
Enumeration Date 2006-10-27
Last Update Date 2008-06-25
Authorized Official Name DR. C. HERBERT HENRY (OWNER)
Authorized Official Telephone 3179236093
Authorized Official Credential PH. D., HSPP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
20040083A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 100227230 05

Office Location

Street Address 3225 NORTH MERIDIAN STREET
SUITE 200
City INDIANAPOLIS
State IN
Zip Code 46208-4680

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NPI Name Taxonomy Address Enumeration
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1831432574 Curtis Stennett Psychiatry & Neurology 563 W Westfield Blvd, Indianapolis, IN 46208 2013-04-01
1417206392 Planned Parenthood of Indiana Midtown Clinic/Center 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 2012-09-06
1629216932 Mary Carol Calloway Follman Occupational Therapist 5502 N. Kenwood Ave., Indianapolis, IN 46208 2009-01-23
1871760751 Jacob Odell Roberts Chiropractor 2413 N Meridian St, Indianapolis, IN 46208 2008-05-10
1285846360 Midwest Residential Services, Inc. Preferred Provider Organization 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 2007-05-03
1881814879 Cheryl Ann Moore Social Worker 3171 N. Meridian Street, Indianapolis, IN 46208 2007-05-01
1679612881 Kenneth Ackles Sr. Chiropractor 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 2007-02-05
1013062918 William D. Alexy Psychologist 6110 N. Meridian, W.dr, Indianapolis, IN 46208 2007-01-24
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1649648155 Lenisha Watson Psychologist 3133 Merrick Ln, 1a, Indianapolis, IN 46222-1755 2015-09-14
1366623050 Alliance for Life, LLC Psychologist 733 W 44th St, Indianapolis, IN 46208-3312 2007-11-21
1902028830 Wendy J Hunsucker Psychologist 6324 Kentucky Avenue, Indianapolis, IN 46221-9704 2007-05-02
1497804538 Barbara F Herman Psychologist 3077 E 98th St Ste 165, Indianapolis, IN 46280-1969 2007-01-09
1700991882 Daniel Lee Baney Psychologist 6825 Parkdale Pl Ste C, Indianapolis, IN 46254-6602 2006-08-20
1548256795 Kevin Patrick Dugan Psychologist 10293 N Meridian St, Suite 375, Indianapolis, IN 46290-1123 2005-09-23
1740832245 Nathan T Walters Psychologist 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 2019-07-15
1548711864 Heather Sperry Psychologist 1481 W 10th St, Indianapolis, IN 46202-2803 2016-10-21
1073908539 Lauren Cunningham Psychologist 1481 W 10th St, Indianapolis, IN 46202-2803 2015-04-01
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Competitor

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City INDIANAPOLIS
Zip Code 46208

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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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