Jack Ennis
PSYD, HSPP | Clinical Psychologist | 35+ years Exp
2160 N Illinois St, Indianapolis
Indiana, 46202-1334
317-937-3700 317-937-3710
Maps & DirectionsJack Ennis is a Indianapolis, Indiana based psychologist with 35 years of experience in Clinical Psychology. He completed his graduation in 1990. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jack Ennis is 20040742 for Clinical Psychology in Indiana. His current practice location is 2160 N Illinois St, Indianapolis. Patients can reach him at 317-937-3700 or can fax him at 317-937-3710. Jack Ennis is PSYD, HSPP in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1194773028.
Jack Ennis is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Jack Ennis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jack Ennis |
| Specialization: | Clinical Psychology |
| Gender: | Male |
| Credentials: | PSYD, HSPP |
| Experience: | 35+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1990 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2160 N Illinois St, Indianapolis, Indiana, 46202-1334 |
| Phone: | 317-937-3700 |
| Fax: | 317-937-3710 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6305020827 |
| Enrollment ID: | I20110407000518 |
| NPI Number: | 1194773028 |
| NPI Enumeration Date: | 04 May, 2006 |
| NPI Last Update On: | 15 Mar, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Ennis are as mentioned below.
| License Number | Specialization | State | Status | |
| 20040742 | Clinical Psychology | Indiana | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jack Ennis is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Hamilton Center, Inc. (4284533662) | 30 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jack Ennis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200254160 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jack Ennis Po Box 4323, Terre Haute, Indiana |
| Zip: | 47804-0323 |
| Phone Number: | 812-231-8323 |
| Fax Number: | 812-231-8400 |
Patients can reach Jack Ennis at
2160 N Illinois St, Indianapolis, Indiana or can
call to book an appointment on 317-937-3700.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.