HOPE HAVEN PSYCHOLOGICAL RESOURCE, LLC
NPI 1679858831
Psychologist in Indianapolis, IN

Active since October 19, 2011
125 N SHORTRIDGE RD, INDIANAPOLIS, IN 46219(317) 241-4673(317) 241-0201 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2024, Nov 15, 2016 (2 updates tracked since 2016).

About Hope Haven Psychological Resource, Llc NPPES

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

HOPE HAVEN PSYCHOLOGICAL RESOURCE, LLC (NPI 1679858831) is a healthcare organization registered as a psychologist in Indianapolis, Indiana and active in the NPI registry since October 2011. The organization lists Tiffanie D Heath, Billing And Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1679858831
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameHOPE HAVEN PSYCHOLOGICAL RESOURCE, LLC
Location Address125 N SHORTRIDGE RDIndianapolis, IN 46219-4908
Mailing Address125 N Shortridge RdIndianapolis, IN 46219-4908 · (317) 241-4673 · Fax (317) 241-0201
Fax(317) 241-0201
Organization SubpartNo
Authorized OfficialTiffanie D HeathBilling And Insurance Manager · (317) 241-4673
Enumeration DateOctober 19, 2011
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1679858831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in IN · 20042331A
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.
125 N SHORTRIDGE RD, Indianapolis, IN 46219

Other Identifiers 2

Medicaid200976490IN
Medicaid201059010BIN

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hope Haven Psychological Resource, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20111115000161Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Hope Haven Psychological Resource, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1831467026
1111 E 54TH ST SUITE 115
Indianapolis, IN 46220
(317) 543-9769
✔ PECOS✔ Accepts Medicare7.4 mi
Clinical Psychologist
NPI 1194977298
5610 CRAWFORDSVILLE RD SUITE 200
Indianapolis, IN 46224
(317) 241-4673
✔ PECOS12 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 Hope Haven Psychological Resource, LLC's NPI number?

The NPI number for Hope Haven Psychological Resource, LLC is 1679858831. It was assigned to this organization in the NPPES registry on October 19, 2011.

Where is Hope Haven Psychological Resource, LLC located?

Hope Haven Psychological Resource, LLC is located at 125 N Shortridge Rd, Indianapolis, IN 46219. The listed phone number is (317) 241-4673.

What is Hope Haven Psychological Resource, LLC's specialty?

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

Is Hope Haven Psychological Resource, LLC enrolled in Medicare?

Yes. Hope Haven Psychological Resource, LLC is registered in the Medicare PECOS enrollment system.

When is Hope Haven Psychological Resource, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hope Haven Psychological Resource, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Hope Haven Psychological Resource, LLC, in Clinical Psychologist and Clinical Social Worker. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hope Haven Psychological Resource, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Cigna Healthcare list Hope Haven Psychological Resource, 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 Hope Haven Psychological Resource, LLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.