Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174787436 Individual Practitioner Male Practitioner

Jerome Elmer Modlik

Psychologist • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Jerome Modlik is a registered healthcare professional specializing in Psychologist in Indianapolis, IN. Practice services are available at 8102 CLEARVISTA PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8102 Clearvista Pkwy

Indianapolis, IN 462561661

Telephone 3178498222
Associated Practice Facility / Clinic
🏢 Fairbanks Hospital, Inc. Facility NPI 1619072493

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
127 Specialists

Practicing in Indianapolis, IN (473 Statewide)

Telehealth Adoption Rate
7.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IN 20040316A

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.

Psychologist - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 103TA0400X

State License IN 20040316A

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Amy Owens , LMHC

Counselor - Mental Health

NPI 1043469109

Licensed Mental Health Counselor

Emily Kuzma , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134832249

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Mary Coyle , NP

Nurse Practitioner

NPI 1164530168

Nurse Practitioner

Augustina Hone , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1295403624

Nurse Practitioner

Marcia Jackson , NP

Nurse Practitioner

NPI 1346358330

Nurse Practitioner

Dr. Rachel Waltz , DNP, RN, NP-BC

Nurse Practitioner - Women's Health

NPI 1386071900

Doctor of Nursing Practice, Registered Nurse, NPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2008

Registered at 8102 CLEARVISTA PKWY, INDIANAPOLIS, IN 462561661 (Tel: 3178498222)

📍
Updated Business Mailing Address July 16, 2008

Registered at 8055 N RICHARDT AVE, INDIANAPOLIS, IN 462561619

👤
Provider Name / Credentials Updated July 16, 2008

Recorded as JEROME MODLIK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2008

Psychologist (License #20040316A in IN)

🟢
Initial NPI Registration & Enumeration July 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174787436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2008
Last Update: July 16, 2008
Sole Proprietor: No

Mailing Address

8055 N Richardt Ave

Indianapolis, IN 462561619

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.