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

Jerome Elmer Modlik

Individual provider Psychologist · NPI 1174787436

Jerome Elmer Modlik is a Psychologist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

8102 Clearvista Pkwy
Indianapolis, IN 46256-1661
Phone: (317) 849-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 20040316A (IN)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence 20040316A (IN)

Record details

NPI number1174787436
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2008
Last updated in NPPESJuly 16, 2008
Mailing address8055 N Richardt Ave, Indianapolis, IN 46256-1619

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