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DR. DANITA LYNN LIVELY MD
NPI 1093799173
Psychiatry & Neurology - Child & Adolescent Psychiatry in Carmel, IN

Active since December 02, 2005Opted out of Medicare · through Jan 6, 2028
703 PRO-MED LN, CARMEL, IN 46032(317) 844-0055(317) 581-3918 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Danita Lynn Lively Md NPPES

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

DR. DANITA LYNN LIVELY MD (NPI 1093799173) is an individual child & adolescent psychiatry provider in Carmel, Indiana, licensed in Indiana (01031924A) and active in the NPI registry since December 2005. She has opted out of Medicare through January 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093799173
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. DANITA LYNN LIVELYCredential: MD
Location Address703 PRO-MED LNCarmel, IN 46032-5317
Mailing Address210 E 91st St, Suite CIndianapolis, IN 46240-1569
Phone(317) 844-0055
Fax(317) 581-3918
Sole ProprietorNo
Enumeration DateDecember 2, 2005
Last NPPES UpdateJanuary 6, 2020
✔ NPI 1093799173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IN · 01031924A
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 01031924A (IN)
703 PRO-MED LN, Carmel, IN 46032
Open in Google Maps ↗

Other Identifiers 1

Medicaid100352260IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Danita Lynn Lively Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2020 through January 6, 2028.

Opt-Out Effective DateJanuary 6, 2020
Opt-Out In Effect ThroughJanuary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUSAN LYNN GLASSBURN LCSW
Social Worker (Clinical)
703 PRO-MED LN, SUITE 200
CARMEL, IN 46032
Hamilton County (317) 843-9922
MRS. CONNIE SUE KENDALL
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
703 PRO-MED LN, SUITE 200
CARMEL, IN 46032
Hamilton County (317) 843-9922
MICHAEL A WEBBER MD
Psychiatry & Neurology (Psychiatry)
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922
DR. SANJAY MISHRA MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922
JENNIFER JANSEN LCSW
Social Worker (Clinical)
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922
WILLIAM BAILEY JONES III M.D.
Psychiatry & Neurology (Psychosomatic Medicine)
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922
KATHLEEN ATWATER
Marriage & Family Therapist
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922
ANN M MORRIS P.A.-C
Physician Assistant
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922

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 Danita Lively's NPI number?

The NPI number for Danita Lively is 1093799173. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Danita Lively located?

Danita Lively practices at 703 Pro-Med Ln, Carmel, IN 46032. The listed phone number is (317) 844-0055.

What is Danita Lively's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Danita Lively enrolled in Medicare?

No. Danita Lively has opted out of Medicare through January 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Danita Lively was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.