JEROME ELMER MODLIK
NPI 1174787436
Psychologist in Indianapolis, IN

Active since July 16, 2008
8102 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256(317) 849-8222 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerome Elmer Modlik NPPES

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

JEROME ELMER MODLIK (NPI 1174787436) is an individual psychologist in Indianapolis, Indiana, licensed in Indiana (20040316A) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1174787436
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJEROME ELMER MODLIK
Location Address8102 CLEARVISTA PKWYIndianapolis, IN 46256-1661
Mailing Address8055 N Richardt AveIndianapolis, IN 46256-1619
Sole ProprietorNo
Enumeration DateJuly 16, 2008
NPI 1174787436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IN · 20040316A
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 20040316A (IN)
8102 CLEARVISTA PKWY, Indianapolis, IN 46256

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.

Counselor (Addiction (Substance Use Disorder))
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256
Social Worker (Clinical)
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256
Counselor (Mental Health)
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256
Nurse Practitioner (Psychiatric/Mental Health)
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256
Social Worker (Clinical)
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256
Counselor (Addiction (Substance Use Disorder))
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256
Nurse Practitioner (Psychiatric/Mental Health)
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256
Counselor (Mental Health)
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256

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 Jerome Modlik's NPI number?

The NPI number for Jerome Modlik is 1174787436. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Jerome Modlik located?

Jerome Modlik practices at 8102 Clearvista Pkwy, Indianapolis, IN 46256. The listed phone number is (317) 849-8222.

What is Jerome Modlik's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jerome Modlik was last updated on July 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.