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

Psychological Service Associates, Inc

Organization Psychologist · NPI 1558441063

Psychological Service Associates, Inc is a Psychologist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3421 E State Blvd
Fort Wayne, IN 46805-4830
Phone: (260) 482-8427
Fax: (260) 482-8429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X (IN)
Adult Development & Aging Psychologist Taxonomy 103TA0700X (IN)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X (IN)
Clinical Psychologist Taxonomy 103TC0700X (IN)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X (IN)
Family Psychologist Taxonomy 103TF0000X (IN)
Forensic Psychologist Taxonomy 103TF0200X (IN)
Health Service Psychologist Taxonomy 103TH0100X (IN)

Record details

NPI number1558441063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jere Leib — President · (260) 482-8427
NPI enumeratedOctober 17, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address3421 E State Blvd, Fort Wayne, IN 46805-4830

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