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

DIONNE DYNLACHT PHD, HSPP
NPI 1972547693
Psychologist - Clinical Child & Adolescent in Indianapolis, IN

Active since June 15, 2006PECOS Enrolled
12647 GEIST COVE DR, INDIANAPOLIS, IN 46236(317) 826-4205 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dionne Dynlacht Phd, Hspp NPPES

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

DIONNE DYNLACHT PHD, HSPP (NPI 1972547693) is an individual clinical child & adolescent provider in Indianapolis, Indiana, licensed in Indiana (20041360A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972547693
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDIONNE DYNLACHTCredential: PHD, HSPP
Location Address12647 GEIST COVE DRIndianapolis, IN 46236-7239
Mailing Address12647 Geist Cove DrIndianapolis, IN 46236-7239
Phone(317) 826-4205
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateApril 22, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1972547693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in IN · 20041360A
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20041360A (IN)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 20041360A (IN)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 20041360A (IN)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 20041360A (IN)
12647 GEIST COVE DR, Indianapolis, IN 46236
Open in Google Maps ↗

Other Identifiers 3

Medicaid100323760AIN
Other000000849448IN · Anthem Bcbs
Medicaid201057980IN

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dionne Dynlacht Phd, Hspp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dionne Dynlacht reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult And Child Mental Health Center Inc
21 mi
Community/Behavioral Health
8320 MADISON AVE
Indianapolis, IN 46227
  • Reassigned Medicare billing, Indiana enrollment
  • 142 clinicians in this Medicare group
NPI 1083432272 (317) 882-5122
Centerstone Of Indiana, Inc.
61 mi
Mental Health (Including Community Mental Health Center)
645 S ROGERS ST
Bloomington, IN 47403
  • Reassigned Medicare billing, Indiana enrollment
  • 251 clinicians in this Medicare group
NPI 1972320224 (812) 339-1691

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 Dionne Dynlacht's NPI number?

The NPI number for Dionne Dynlacht is 1972547693. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Dionne Dynlacht located?

Dionne Dynlacht practices at 12647 Geist Cove Dr, Indianapolis, IN 46236. The listed phone number is (317) 826-4205.

What is Dionne Dynlacht's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Dionne Dynlacht enrolled in Medicare?

Yes. Dionne Dynlacht is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dionne Dynlacht's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dionne Dynlacht reassigns Medicare benefits to 2 organizations: Adult And Child Mental Health Center Inc (Indianapolis, IN) and Centerstone Of Indiana, Inc. (Bloomington, IN). Each 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 Dionne Dynlacht's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dionne Dynlacht accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Dionne Dynlacht 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 Dionne Dynlacht was last updated on April 22, 2021. 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.