Provider Demographics
NPI:1477643260
Name:INGWELL PSYCHOLOGICAL SERVICES INC.
Entity type:Organization
Organization Name:INGWELL PSYCHOLOGICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANNA MARIE
Authorized Official - Last Name:INGWELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:317-726-1900
Mailing Address - Street 1:650 W 64TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-4731
Mailing Address - Country:US
Mailing Address - Phone:317-726-1900
Mailing Address - Fax:317-726-1966
Practice Address - Street 1:650 W 64TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-4731
Practice Address - Country:US
Practice Address - Phone:317-726-1900
Practice Address - Fax:317-726-1966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20010507A103TR0400X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Single Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty