| Theresa Jane Rader-wilson, PSYD HSPP | |
|
8175 Henderson Ridge Dr, Mooresville, IN 46158-7205 | |
| (317) 460-9455 | |
| Not Available |
| Full Name | Theresa Jane Rader-wilson |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 42 Years |
| Location | 8175 Henderson Ridge Dr, Mooresville, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255401220 | NPI | - | NPPES |
| 200389320 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 20041299A (Indiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | 20041299A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1592 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Jane Rader-wilson, PSYD HSPP 8175 Henderson Ridge Dr, Mooresville, IN 46158-7205 Ph: () - | Theresa Jane Rader-wilson, PSYD HSPP 8175 Henderson Ridge Dr, Mooresville, IN 46158-7205 Ph: (317) 460-9455 |
Linda Sue Phillips, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11 W Carlisle St, Mooresville, IN 46158 Phone: 317-831-9200 Fax: 317-831-9202 | |
Melanie Huene, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Hadley Rd, Mooresville, IN 46158 Phone: 317-834-5756 Fax: 317-834-5782 | |
Linda Wakefield, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11370 N State Road 67, Mooresville, IN 46158 Phone: 317-834-8187 Fax: 317-834-8196 |