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

Jill Cherie Fodstad, PHD, HSPP

Individual provider Psychologist · NPI 1710237458

Jill Cherie Fodstad, PHD, HSPP is a Clinical Psychologist in Indianapolis, Indiana. Qualified in 2011, 15 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Maryland.

Years since qualifying
15
Licensed in
IN, MD
In the registry since
2012
Specialties on file
2
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

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 944-2066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 20042696A (IN)
Psychologist Taxonomy 103T00000X · Licence 05202 (MD)

Record details

NPI number1710237458
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , HSPP
Sole proprietorNo
NPI enumeratedSeptember 10, 2012
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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