Organization
INDIANA UNIVERSITY PSYCHIATRIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRONSON TROYER (ADMINISTRATOR)
(317) 963-7285
Entity
Organization
Contact information
Practice address
355 W 16TH ST, INDIANAPOLIS, IN 46202-2207
(317) 963-7285
Mailing address
7952 SOLUTION CTR, CHICAGO, IL 60677-7009
(317) 962-4777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20010381
IN
103TC0700X
Clinical Psychologist
34004399
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20042875
IN
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
34000590
IN
2084F0202X
Forensic Psychiatry Physician
20010163
IN
2084N0600X
Clinical Neurophysiology Physician
20041914
IN
2084P0800X
Psychiatry Physician
Primary
01053884
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01032989
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
70000020
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100360970
—
IN
05
—
201108960
—
IN
Enumeration date
05/23/2006
Last updated
08/27/2015
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