Dr. Robert Beedle, PhD
Psychologist, Clinical in East Chicago, IN. Individual provider (NPI-1).
NPI number1982386751
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1982386751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Beedle
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2023
- Certification date
- Nov 4, 2024
- Last updated
- Nov 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 20053875B | IN | Yes |
| 103T00000X | Psychologist | 20043875A | IN | |
| 172V00000X | Community Health Worker | – | – |
Practice location
3903 Indianapolis BlvdEast Chicago, IN 46312-2555
Phone 219-769-4005 · Fax 219-937-5808
Mailing address
3903 Indianapolis BlvdEast Chicago, IN 46312-2555
Phone 219-769-4005 · Fax 219-937-5808
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Psychologist providers in East Chicago, IN
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All 7 Clinical Psychologist providers in East Chicago · All 497 providers in East Chicago
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