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

Dr. Robert Beedle, PHD

Individual provider Psychologist · NPI 1982386751

Dr. Robert Beedle, PHD is a Clinical Psychologist in East Chicago, Indiana. Qualified in 2022, 4 years ago. Practices with Southlake Community Mental Health Center Inc, a 38-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2023
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

3903 Indianapolis Blvd
East Chicago, IN 46312-2555
Phone: (219) 769-4005
Fax: (219) 937-5808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20053875B (IN)
Psychologist Taxonomy 103T00000X · Licence 20043875A (IN)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1982386751
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 2, 2023
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address3903 Indianapolis Blvd, East Chicago, IN 46312-2555

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southlake Community Mental Health Center Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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