LESLIE JAY SUGA PHD HSPP
NPI 1972595684
Clinical Neuropsychologist in Indianapolis, IN

Active since August 18, 2005
6515 E 82ND ST, SUITE 210, INDIANAPOLIS, IN 46250(317) 559-0990(317) 653-6405 Get Directions Write a Review

NPPES record last updated: October 25, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Clinical Neuropsychologist

About LESLIE SUGA

This page provides the complete NPI Profile along with additional information for Leslie Suga, a provider established in Indianapolis, Indiana with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1972595684 assigned on August 2005. The practitioner's primary taxonomy code is 103G00000X with license number 20040349A (IN). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1972595684 Verify this NPI
Provider Name
LESLIE JAY SUGA PHD HSPP
Gender
Male
Entity Type
Individual
Location Address
6515 E 82ND ST SUITE 210 INDIANAPOLIS, IN 46250
Location Phone
(317) 559-0990
Location Fax
(317) 653-6405
Mailing Address
8539 TIDEWATER DR INDIANAPOLIS, IN 46236
Is Sole Proprietor?
No
Enumeration Date
08-18-2005
Last Update Date
10-25-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
20040349A
License State
IN
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
246350GMEDICARE PIN (08) 
IN1975001MEDICARE PIN (08)IN 
R34163MEDICARE UPIN (02)IN 
100376990AMEDICAID (05)IN 
680013641OTHER (01)INMEDICARE RAILROAD
M400053608MEDICARE PIN (08)IN 

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
6515 E 82ND ST, SUITE 103
INDIANAPOLIS, IN 46250
Social Worker (Clinical)
6515 E 82ND ST, SUITE 110
INDIANAPOLIS, IN 46250
Social Worker (Clinical)
6515 E 82ND ST, SUITE 110
INDIANAPOLIS, IN 46250
Community/Behavioral Health
6515 E 82ND ST, SUITE 110
INDIANAPOLIS, IN 46250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972595684, enumerated as an "individual" on August 18, 2005.

The provider is located at 6515 E 82ND ST SUITE 210 INDIANAPOLIS, IN 46250 and the phone number is (317) 559-0990.

Clinical Neuropsychologist with taxonomy code 103G00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.