MIDWEST SUPERVISION AND EVALUATION (NPI# 1811506769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811506769 |
| Entity Type | Organization |
| Organization Name | MIDWEST SUPERVISION AND EVALUATION |
| Practice Address |
450 E 96th St Ste 500 Indianapolis IN 46240-3760 |
| Mailing Address |
8103 E Us Highway 36 Ste 123 Avon IN 46123-7964 |
| Practice Telephone | 3174767272 |
| Practice Fax Number | 3177627916 |
| Mailing Telephone | 3174767272 |
| Mailing Fax Number | 3177627916 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | COURTNEY DELONEY (OWNER/PROVIDER) |
| Authorized Official Telephone | 3174767272 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
| Street Address |
450 E 96TH ST STE 500 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46240-3760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811058811 | Allen Marcellus Rader | Counselor | 450 E 96th St Ste 500, Indianapolis, IN 46240-3760 | 2006-12-13 |
| 1689028458 | Allen's Therapeutic Services LLC | Counselor | 450 E 96th St Ste 500, Indianapolis, IN 46240-3760 | 2016-04-19 |
| 1063873347 | Andrews Healthcare Inc. | Home Health | 450 E 96th St Ste 500, Indianapolis, IN 46240-3760 | 2016-03-14 |
| 1689034571 | Allen's Therpeutic Services | Counselor | 450 E 96th St Ste 500, Indianapolis, IN 46240-3760 | 2016-03-04 |
| 1063703106 | Vizion One, Inc | Home Health | 450 E 96th St Ste 500, Indianapolis, IN 46240-3760 | 2011-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
| 1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
| 1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
| 1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
| 1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
| 1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
| 1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
| Find all providers in zip 46240 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336345008 | Michael James Jenuwine | Psychologist | 725 Howard St, South Bend, IN 46617-1529 | 2007-06-21 |
| 1801014485 | Timothy Alan Stultz | Psychologist | 6573 Crossbridge Dr, Noblesville, IN 46062-7370 | 2007-04-21 |
| 1891836417 | David Neubauer Lombard | Psychologist | 3242 Mallard Cove Ln, Fort Wayne, IN 46804-2883 | 2007-02-08 |
| 1972642767 | Howard Wooden | Psychologist | 400 Wabash Ave Ste 212, Terre Haute, IN 47807-3276 | 2007-02-06 |
| 1235481532 | Pilipis Behavioral Group, LLC | Psychologist | 152 S 9th St, Noblesville, IN 46060-2619 | 2012-10-10 |
| City | INDIANAPOLIS |
| Zip Code | 46240 |
Please comment or provide details below to improve the information on MIDWEST SUPERVISION AND EVALUATION.
| 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.