NPI Code Detail JSON Logo

1528423829 NPI number — ROCKEY PSYCHOLOGICAL SERVICES INC.

NPI Number: 1528423829
Health Care Provider/Practitioner: ROCKEY PSYCHOLOGICAL SERVICES INC.

Information about “1528423829” NPI (ROCKEY PSYCHOLOGICAL SERVICES INC.) exists in 1528423829 in HTML format HTML  |  1528423829 in plain Text format TXT  |  1528423829 in PDF (Portable Document Format) PDF  |  1528423829 in an XML format XML  formats.

NPI Number : 1528423829 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528423829",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ROCKEY PSYCHOLOGICAL SERVICES INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "600 IRONWOOD DR STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRANKLIN",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46131-8324",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-474-1174",
    "MailingAddressFaxNumber": "317-868-8301",
    "FirstLinePracticeLocationAddress": "596 IRONWOOD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRANKLIN",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46131-7070",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-474-1174",
    "PracticeLocationAddressFaxNumber": "812-526-1211",
    "EnumerationDate": "12/31/2015",
    "LastUpdateDate": "06/03/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROCKEY",
    "AuthorizedOfficialFirstName": "MARSHA",
    "AuthorizedOfficialMiddleName": "LYNNE",
    "AuthorizedOfficialTitle": "PRESIDENT/PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSY.D.",
    "AuthorizedOfficialTelephoneNumber": "317-474-1174",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TB0200X",
          "TaxonomyName": "Cognitive & Behavioral Psychologist",
          "LicenseNumber": "20042221A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC2200X",
          "TaxonomyName": "Clinical Child & Adolescent Psychologist",
          "LicenseNumber": "20042221A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "20042221A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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