Healthcare Provider Details

I. General information

NPI: 1477643260
Provider Name (Legal Business Name): INGWELL PSYCHOLOGICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 W 64TH ST
INDIANAPOLIS IN
46260-4731
US

IV. Provider business mailing address

650 W 64TH ST
INDIANAPOLIS IN
46260-4731
US

V. Phone/Fax

Practice location:
  • Phone: 317-726-1900
  • Fax: 317-726-1966
Mailing address:
  • Phone: 317-726-1900
  • Fax: 317-726-1966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20010507A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number20010507A
License Number StateIN

VIII. Authorized Official

Name: DR. NANCY ANNA MARIE INGWELL
Title or Position: OWNER AND PRESIDENT
Credential: PH.D.
Phone: 317-726-1900