MEDICARE: WORLDVIEW PSYCHOLOGICAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1285579920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLDVIEW PSYCHOLOGICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	10761 CHESAPEAKE DR N
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-8964
Country	:	US
Telephone Number	:	317-748-4520
Fax Number	:

Provider Business Practice Location Address
First Line	:	10761 CHESAPEAKE DR N
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-8964
Country	:	US
Telephone Number	:	317-748-4520
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST/OWNER
Name	:	DR. KIMBERLY ELAINE JOHNSON
Credential	:	PSYD, HSPP, APIT
Telephone Number	:	317-748-4520

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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