Provider Demographics
NPI:1285775023
Name:SOVICH, CARI A (PSYD, HSPP)
Entity type:Individual
Prefix:DR
First Name:CARI
Middle Name:A
Last Name:SOVICH
Suffix:
Gender:F
Credentials:PSYD, HSPP
Other - Prefix:
Other - First Name:CARI
Other - Middle Name:ANN
Other - Last Name:SOVICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD, HSPP
Mailing Address - Street 1:10659 ADAM CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9050
Mailing Address - Country:US
Mailing Address - Phone:317-714-6226
Mailing Address - Fax:317-579-0000
Practice Address - Street 1:6067 DECATUR BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241-9606
Practice Address - Country:US
Practice Address - Phone:317-856-5201
Practice Address - Fax:317-845-1886
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20041478A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200414350AMedicaid
IN680015899OtherRAILROAD PROVIDER NUMBER
IN200414350AMedicaid