Jack Ennis is a Indianapolis, Indiana based psychologist with 34 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:
34+ 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.