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CLINICAL & FORENSIC PSYCHOLOGICAL SERVICES OF INDIANA, P.C.
NPI 1821208000
Psychologist - Clinical in Fort Wayne, IN

Active since May 23, 2007
4630 W JEFFERSON BLVD, SUITE 5, FORT WAYNE, IN 46804(260) 436-4100(260) 432-6282 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clinical & Forensic Psychological Services Of Indiana, P.c. NPPES

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

CLINICAL & FORENSIC PSYCHOLOGICAL SERVICES OF INDIANA, P.C. (NPI 1821208000) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since May 2007. The organization lists Stephen Gerard Ross, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1821208000
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCLINICAL & FORENSIC PSYCHOLOGICAL SERVICES OF INDIANA, P.C.
Location Address4630 W JEFFERSON BLVD, SUITE 5Fort Wayne, IN 46804-6856
Mailing Address4630 W Jefferson Blvd, Suite 5Fort Wayne, IN 46804-6856 · (260) 436-4100 · Fax (260) 432-6282
Phone(260) 436-4100
Fax(260) 432-6282
Organization SubpartNo
Authorized OfficialStephen Gerard RossPsychologist · (260) 436-4100
Enumeration DateMay 23, 2007
Last NPPES UpdateMarch 3, 2008
✔ NPI 1821208000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IN · 20040536A
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.
4630 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Identifiers 2

Medicare UPINR99231IN
Medicare ID-Type Unspecified185800IN · Medicare

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

Other Providers at the Same Location NPPES 4

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

DR. MICHELLE RENNE MILLER PH.D.
Psychologist (Counseling)
4630 W JEFFERSON BLVD, STE 11A
FORT WAYNE, IN 46804
Allen County (260) 434-1606
NEUROPSYCHOLOGICAL CONSULTANTS, INC
Psychologist
4630 W JEFFERSON BLVD, UNIT 1
FORT WAYNE, IN 46804
Allen County (260) 409-2099
LIFE TRANSITIONS COUNSELING CENTER, LLC
Psychologist (Counseling)
4630 W JEFFERSON BLVD, #11A
FORT WAYNE, IN 46804
Allen County (260) 434-1606
REAGAN COUNSELING LLC
Counselor (Mental Health)
4630 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 616-0185

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 Clinical & Forensic Psychological Services Of Indiana, P.C.'s NPI number?

The NPI number for Clinical & Forensic Psychological Services Of Indiana, P.C. is 1821208000. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Clinical & Forensic Psychological Services Of Indiana, P.C. located?

Clinical & Forensic Psychological Services Of Indiana, P.C. is located at 4630 W Jefferson Blvd Suite 5, Fort Wayne, IN 46804. The listed phone number is (260) 436-4100.

What is Clinical & Forensic Psychological Services Of Indiana, P.C.'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 Clinical & Forensic Psychological Services Of Indiana, P.C. was last updated on March 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.