GERIATRIC PSYCHIATRIC SERVICES PLLC
NPI 1073753323
Psychologist - Clinical in Indianapolis, IN

Q: What is Geriatric Psychiatric Services PLLC's NPI number?

The NPI number for Geriatric Psychiatric Services PLLC is 1073753323. It was assigned to this organization in the NPPES registry on February 26, 2009.

Q: What is Geriatric Psychiatric Services PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since February 26, 2009

9465 COUNSELORS ROW, SUITE 200, INDIANAPOLIS, IN 46240(586) 620-8100(866) 227-7418 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Geriatric Psychiatric Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERIATRIC PSYCHIATRIC SERVICES PLLC (NPI 1073753323) is a healthcare organization registered as a clinical in Indianapolis, Indiana and active in the NPI registry since February 2009. The organization lists Robert A Clemente, Admin Director, as its authorized official.

NPPES Registry Identity

NPI1073753323

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameGERIATRIC PSYCHIATRIC SERVICES PLLC

Location Address9465 COUNSELORS ROW, SUITE 200Indianapolis, IN 46240-6423

Mailing Address39465 W 14 Mile RdNovi, MI 48377-1600 · (877) 906-9699 · Fax (888) 483-0118

Phone(586) 620-8100

Fax(866) 227-7418

Organization SubpartYesParent: Total Care Solutions, Sc

Authorized OfficialRobert A ClementeAdmin Director · (586) 620-8100

Enumeration DateFebruary 26, 2009

Last NPPES UpdateJuly 25, 2024

NPPES CertifiedJuly 25, 2024

✔ NPI 1073753323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

9465 COUNSELORS ROW, Indianapolis, IN 46240

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geriatric Psychiatric Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Geriatric Psychiatric Services PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Vaughn, PH.D.

Clinical Psychologist

NPI 1801843818

2494 HIGHRIDGE LN SE
Grand Rapids, MI 49546

(616) 726-2739

✔ PECOS✔ Accepts Medicare209 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geriatric Psychiatric Services PLLC's NPI number?

The NPI number for Geriatric Psychiatric Services PLLC is 1073753323. It was assigned to this organization in the NPPES registry on February 26, 2009.

Where is Geriatric Psychiatric Services PLLC located?

Geriatric Psychiatric Services PLLC is located at 9465 Counselors Row Suite 200, Indianapolis, IN 46240. The listed phone number is (586) 620-8100.

What is Geriatric Psychiatric Services PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Geriatric Psychiatric Services PLLC enrolled in Medicare?

Yes. Geriatric Psychiatric Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Geriatric Psychiatric Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Geriatric Psychiatric Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Geriatric Psychiatric Services PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Geriatric Psychiatric Services PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geriatric Psychiatric Services PLLC was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.