Provider Demographics
NPI:1881440329
Name:CRAIN PSYCHOLOGICAL SPECIALISTS, LLC
Entity type:Organization
Organization Name:CRAIN PSYCHOLOGICAL SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBBI
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:317-296-2754
Mailing Address - Street 1:8645 RAHKE RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-5084
Mailing Address - Country:US
Mailing Address - Phone:317-296-2754
Mailing Address - Fax:317-780-5755
Practice Address - Street 1:6411 S EAST ST STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-2737
Practice Address - Country:US
Practice Address - Phone:317-296-2754
Practice Address - Fax:317-780-5755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty