PSYCHOLOGICAL SERVICE ASSOCIATES, INC
PSYCHOLOGICAL SERVICE ASSOCIATES, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1558441063, based in Fort Wayne, IN. The organization lists 8 taxonomy classifications, with Psychologist recorded as primary.
Getting there
The practice address on file is 3421 E STATE BLVD, Fort Wayne, IN 46805. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3476528902
- Enrollment ID
- O20040830000075
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychologist covers
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. NUCC Health Care Provider Taxonomy, code 103T00000X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103T00000X | Psychologist | — | IN | primary |
| 103TA0700X | Adult Development & Aging Psychologist Adult Development & Aging | — | IN | |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | — | IN | |
| 103TC0700X | Clinical Psychologist Clinical | — | IN | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | — | IN | |
| 103TF0000X | Family Psychologist Family | — | IN | |
| 103TF0200X | Forensic Psychologist Forensic | — | IN | |
| 103TH0100X | Health Service Psychologist Health Service | — | IN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1558441063 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 17, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
3421 E STATE BLVD Fort Wayne, IN 46805 (260) 482-8427 Fax (260) 482-8429 |
| Other identifiers |
000000176183
· Other (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 5 | 8 | 4 | 4 | 1 | 0 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 1 | 8 | 8 | 4 | 2 | 0 | 3 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.