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

Individual provider Clinical Psychologist · NPI 1649788613

Dr. Teri Marisa Krakovich, PHD is a Clinical Psychologist in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Practices with Jane Pauley Community Health Center Inc, a 77-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3512 Stellhorn Rd
Fort Wayne, IN 46815-4631
Phone: (260) 483-9081
Fax: (260) 483-9196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11831 Harvard Ln, Carmel, IN 46032-4663 — (201) 452-6613

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20043109A (IN)

Record details

NPI number1649788613
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 12, 2018
Last updated in NPPESDecember 26, 2019
Certification dateDecember 26, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Jane Pauley Community Health Center Inc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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