Provider Demographics
NPI:1528423829
Name:ROCKEY PSYCHOLOGICAL SERVICES INC.
Entity type:Organization
Organization Name:ROCKEY PSYCHOLOGICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:ROCKEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:317-474-1174
Mailing Address - Street 1:600 IRONWOOD DR STE C
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-8324
Mailing Address - Country:US
Mailing Address - Phone:317-474-1174
Mailing Address - Fax:317-868-8301
Practice Address - Street 1:596 IRONWOOD DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-7070
Practice Address - Country:US
Practice Address - Phone:317-474-1174
Practice Address - Fax:812-526-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-31
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042221A103TB0200X, 103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty