1. Home
  2. Directory
  3. Indiana
  4. Greenwood
  5. Psychologist
  6. NPI Profile

GREAT LAKES INSTITUTE FOR NEUROPSYCHOLOGY & BEHAVIORAL HEALTH
NPI 1750599981
Psychologist - Clinical in Greenwood, IN

Active since May 20, 2007
494 S EMERSON AVE, SUITE C, GREENWOOD, IN 46143(317) 889-3901(317) 889-3902 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2024, Mar 19, 2020 (2 updates tracked since 2020).

About Great Lakes Institute For Neuropsychology & Behavioral Health NPPES

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

GREAT LAKES INSTITUTE FOR NEUROPSYCHOLOGY & BEHAVIORAL HEALTH (NPI 1750599981) is a healthcare organization registered as a clinical in Greenwood, Indiana and active in the NPI registry since May 2007. The organization lists Sanford Lloyd Pederson, President, as its authorized official.

NPPES Registry Identity

NPI1750599981
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameGREAT LAKES INSTITUTE FOR NEUROPSYCHOLOGY & BEHAVIORAL HEALTH
Location Address494 S EMERSON AVE, SUITE CGreenwood, IN 46143-1912
Mailing AddressPo Box 750233Dayton, OH 45475-0233 · (317) 889-3901 · Fax (317) 889-3902
Phone(317) 889-3901
Fax(317) 889-3902
Organization SubpartNo
Authorized OfficialSanford Lloyd PedersonPresident · (317) 889-3901
Enumeration DateMay 20, 2007
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1750599981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · ForensicTaxonomy 103TF0200X
Also ListedPsychologist · HealthTaxonomy 103TH0004X
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X
494 S EMERSON AVE, Greenwood, IN 46143
Open in Google Maps ↗

Other Identifiers 1

Medicaid200227370IN

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

SENIOR HELPERS
In Home Supportive Care
494 S EMERSON AVE, SUITE I-2
GREENWOOD, IN 46143
Johnson County (317) 881-9700
MRS. CONSTANCE J TOOLEY LMHC
Counselor (Mental Health)
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Johnson County (317) 888-0581
DR. JERRY ROBERT DAVIS D.D.S.
Dentist (General Practice)
494 S EMERSON AVE, SUITE K
GREENWOOD, IN 46143
Johnson County (317) 882-2880
DIANE M. STONE LMHC
Counselor (Mental Health)
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Johnson County (317) 884-9397
DR. ALFRED ROBERT BARROW PH.D.
Psychologist (Counseling)
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Johnson County (317) 888-0581
DR. CARA AILEEN MISETIC PSY.D.
Psychologist (Clinical)
494 S EMERSON AVE, SUITE D
GREENWOOD, IN 46143
Johnson County (317) 889-3901
MS. MARIE MICHELE JOINVIL
In Home Supportive Care
494 S EMERSON AVE
GREENWOOD, IN 46143
Johnson County (317) 678-7110
BARROW AND ASSOCIATES
Psychologist
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Johnson County (317) 888-0581

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 Great Lakes Institute For Neuropsychology & Behavioral Health's NPI number?

The NPI number for Great Lakes Institute For Neuropsychology & Behavioral Health is 1750599981. It was assigned to this organization in the NPPES registry on May 20, 2007.

Where is Great Lakes Institute For Neuropsychology & Behavioral Health located?

Great Lakes Institute For Neuropsychology & Behavioral Health is located at 494 S Emerson Ave Suite C, Greenwood, IN 46143. The listed phone number is (317) 889-3901.

What is Great Lakes Institute For Neuropsychology & Behavioral Health'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 Great Lakes Institute For Neuropsychology & Behavioral Health was last updated on June 7, 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.