1497807655 NPI number — MARSHA LYNNE ROCKEY PSYD, HSPP

Table of content: MARSHA LYNNE ROCKEY PSYD, HSPP (NPI 1497807655)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497807655 NPI number — MARSHA LYNNE ROCKEY PSYD, HSPP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROCKEY
Provider First Name:
MARSHA
Provider Middle Name:
LYNNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PSYD, HSPP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497807655
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/03/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 IRONWOOD DR
Provider Second Line Business Mailing Address:
STE C
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46131-8324
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-868-8300
Provider Business Mailing Address Fax Number:
317-868-8302

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 IRONWOOD DR
Provider Second Line Business Practice Location Address:
STE C
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46131-8324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-868-8300
Provider Business Practice Location Address Fax Number:
317-868-8302
Provider Enumeration Date:
01/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  20042221A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TH0100X , with the licence number: 20042221A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 761086600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201338810 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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