MICHAEL WOODIN PHD
NPI 1174740252
Psychologist - Health Service in Richmond, IN

Active since April 19, 2007PECOS Enrolled
1130 N J ST, RICHMOND, IN 47374(765) 983-3298(765) 983-7970 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 27, 2021, Jul 23, 2021, Jun 30, 2021 (3 updates tracked since 2021).

About Michael Woodin Phd NPPES

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

MICHAEL WOODIN PHD (NPI 1174740252) is an individual health service provider in Richmond, Indiana, licensed in Indiana (20042068B) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Eaton.

NPPES Registry Identity

NPI1174740252
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameMICHAEL WOODINCredential: PHD
Location Address1130 N J STRichmond, IN 47374-1913
Mailing Address1100 Reid Parkway, Medical Staff ServicesRichmond, IN 47374 · (765) 935-8802 · Fax (765) 983-3219
Fax(765) 983-7970
Sole ProprietorYes
Enumeration DateApril 19, 2007
Last NPPES UpdateSeptember 27, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
NPI 1174740252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in IN · 20042068B
Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Also ListedPsychologistTaxonomy 103T00000X · License 20042068A (IN), P.07823 (OH)
1130 N J ST, Richmond, IN 47374

Secondary Practice Location 1

Location 1550 Hallmark DrEaton, OH 45320-8648 · Phone (937) 456-4181 · Fax (937) 456-4649

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Woodin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

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

Family Medicine
1130 N J ST
RICHMOND, IN 47374
Family Medicine
1130 N J ST
RICHMOND, IN 47374
Social Worker (Clinical)
1130 N J ST
RICHMOND, IN 47374
Nurse Practitioner (Psychiatric/Mental Health)
1130 N J ST
RICHMOND, IN 47374
Psychiatry & Neurology (Psychiatry)
1130 N J ST
RICHMOND, IN 47374
Nurse Practitioner (Psychiatric/Mental Health)
1130 N J ST
RICHMOND, IN 47374
Social Worker (Clinical)
1130 N J ST
RICHMOND, IN 47374
Psychiatry & Neurology (Psychiatry)
1130 N J ST
RICHMOND, IN 47374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174740252, enumerated as an "individual" on April 19, 2007.

The provider is located at 1130 N J ST RICHMOND, IN 47374 and the phone number is (765) 983-3298.

Psychologist with taxonomy code 103TH0100X and a focus in Health Service.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource and. Please consult your insurance carrier or call the provider to verify.