Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Clinical & Forensic Psychological Services of Indiana, PC

Organization Clinical Psychologist · NPI 1821208000

Clinical & Forensic Psychological Services of Indiana, PC provides Clinical Psychologist services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4630 W Jefferson Blvd Ste 5
Fort Wayne, IN 46804-6856 Not confirmed with CMS for 18 years — call before visiting
Phone: (260) 436-4100
Fax: (260) 432-6282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20040536A (IN)

Record details

NPI number1821208000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Ross — Psychologist · (260) 436-4100
NPI enumeratedMay 23, 2007
Last updated in NPPESMarch 3, 2008
Mailing address4630 W Jefferson Blvd, Suite 5, Fort Wayne, IN 46804-6856

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