CEDAR CREEK PSYCHOLOGICAL SERVICES LLC
NPI 1316542830
Psychologist - Clinical in Fort Wayne, IN

Q: What is Cedar Creek Psychological Services LLC's specialty?

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

Active since December 02, 2020

1235 OAK TRAIL CT, FORT WAYNE, IN 46845(260) 348-8031 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Cedar Creek Psychological Services Llc NPPES

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

CEDAR CREEK PSYCHOLOGICAL SERVICES LLC (NPI 1316542830) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since December 2020. The organization lists Matthew Robert Moeller, Owner, as its authorized official.

NPPES Registry Identity

NPI1316542830

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCEDAR CREEK PSYCHOLOGICAL SERVICES LLC

Location Address1235 OAK TRAIL CTFort Wayne, IN 46845-6120

Mailing Address1235 Oak Trail CtFort Wayne, IN 46845-6120 · (260) 348-8031

Phone(260) 348-8031

Organization SubpartNo

Authorized OfficialMatthew Robert MoellerOwner · (260) 348-8031

Enumeration DateDecember 2, 2020

NPPES CertifiedDecember 2, 2020

✔ NPI 1316542830 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.

1235 OAK TRAIL CT, Fort Wayne, IN 46845

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Cedar Creek Psychological Services Llc 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 Cedar Creek Psychological Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Katherine Moeller, PSY.D., HSPP

Clinical Psychologist

NPI 1689050460

2200 LAKE AVE STE 260
Fort Wayne, IN 46805

(260) 424-0411

✔ PECOS✔ Accepts Medicare6.8 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 Cedar Creek Psychological Services LLC's NPI number?

The NPI number for Cedar Creek Psychological Services LLC is 1316542830. It was assigned to this organization in the NPPES registry on December 2, 2020.

Where is Cedar Creek Psychological Services LLC located?

Cedar Creek Psychological Services LLC is located at 1235 Oak Trail Ct, Fort Wayne, IN 46845. The listed phone number is (260) 348-8031.

What is Cedar Creek Psychological Services LLC's specialty?

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

Is Cedar Creek Psychological Services LLC enrolled in Medicare?

Yes. Cedar Creek Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cedar Creek Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Cedar Creek Psychological Services LLC. 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 Cedar Creek Psychological Services LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Cedar Creek Psychological Services LLC 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 Cedar Creek Psychological Services LLC was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.