SOUGANDHI BACKHAUS PHD
NPI 1780638619
Clinical Neuropsychologist in Indianapolis, IN

Q: What is Sougandhi Backhaus's NPI number?

The NPI number for Sougandhi Backhaus is 1780638619. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Q: What is Sougandhi Backhaus's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment

4141 SHORE DR, INDIANAPOLIS, IN 46254(317) 329-2219 Get Directions Write a Review

NPPES record last updated: July 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sougandhi Backhaus Phd NPPES

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

SOUGANDHI BACKHAUS PHD (NPI 1780638619) is an individual clinical neuropsychologist in Indianapolis, Indiana, licensed in Indiana (20041993) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1780638619

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameSOUGANDHI BACKHAUSCredential: PHD

Location Address4141 SHORE DRIndianapolis, IN 46254-2607

Mailing Address6804 Wood Haven PlZionsville, IN 46077-8560 · (317) 879-8940 · Fax (317) 872-0914

Phone(317) 329-2219

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 22, 2006

Last NPPES UpdateJuly 1, 2011

✔ NPI 1780638619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in IN · 20041993

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 20041993 (IN)

4141 SHORE DR, Indianapolis, IN 46254

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Other Identifiers 2

Medicare ID-Type Unspecified264220KIN

Medicaid200285860IN

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sougandhi Backhaus Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668428319

PECOS Enrollment IDI20050324001095

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

82 services11 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

29 services11 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

11 services11 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

11 services11 patients

Other Providers at the Same Location NPPES 19

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

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