Healthcare Provider Details

I. General information

NPI: 1538818539
Provider Name (Legal Business Name): HEALTH PSYCHOLOGY ASSOCIATES OF INDIANA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9302 N MERIDIAN ST STE 337
INDIANAPOLIS IN
46260-1843
US

IV. Provider business mailing address

9302 N MERIDIAN ST STE 337
INDIANAPOLIS IN
46260-1843
US

V. Phone/Fax

Practice location:
  • Phone: 317-627-0541
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: SARAH JENKINS
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 317-627-0541