PAYTONS PLACE, LLC
NPI 1104247337
Psychologist - Clinical in Fort Wayne, IN

Q: What is Paytons Place, LLC's NPI number?

The NPI number for Paytons Place, LLC is 1104247337. It was assigned to this organization in the NPPES registry on December 13, 2013.

Q: What is Paytons Place, LLC's specialty?

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

Active since December 13, 2013

409 EAST COOK RD, SUITE 100, FORT WAYNE, IN 46825(260) 498-9933 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Paytons Place, Llc NPPES

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

PAYTONS PLACE, LLC (NPI 1104247337) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since December 2013. The organization lists Marla Souder, Owner/president/psychologist, as its authorized official.

NPPES Registry Identity

NPI1104247337

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePAYTONS PLACE, LLC

Location Address409 EAST COOK RD, SUITE 100Fort Wayne, IN 46825

Mailing Address2599 County Road 72Auburn, IN 46706 · (260) 498-9933

Phone(260) 498-9933

Organization SubpartNo

Authorized OfficialMarla SouderOwner/president/psychologist · (260) 498-9933

Enumeration DateDecember 13, 2013

✔ NPI 1104247337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IN · 20042225A

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedDevelopmental TherapistTaxonomy 222Q00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

409 EAST COOK RD, Fort Wayne, IN 46825

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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

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 Paytons Place, LLC's NPI number?

The NPI number for Paytons Place, LLC is 1104247337. It was assigned to this organization in the NPPES registry on December 13, 2013.

Where is Paytons Place, LLC located?

Paytons Place, LLC is located at 409 East Cook Rd Suite 100, Fort Wayne, IN 46825. The listed phone number is (260) 498-9933.

What is Paytons Place, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Paytons Place, LLC was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.