Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinical & Forensic Psychological Services of Indiana, PC

Organization Clinical Psychologist · NPI 1821208000

Clinical & Forensic Psychological Services of Indiana, PC is a Clinical Psychologist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4630 W Jefferson Blvd Ste 5
Fort Wayne, IN 46804-6856
Phone: (260) 436-4100
Fax: (260) 432-6282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20040536A (IN)

Record details

NPI number1821208000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Ross — Psychologist · (260) 436-4100
NPI enumeratedMay 23, 2007
Last updated in NPPESMarch 3, 2008
Mailing address4630 W Jefferson Blvd, Suite 5, Fort Wayne, IN 46804-6856

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