Dale E. Theobald, M.D., PH.D.
NPI 1053383083ActiveIndividual· Psychiatry & Neurology, Addiction Psychiatry· Indianapolis, IN
Psychiatry & Neurology, Addiction Psychiatry (M.D., PH.D.) in Indianapolis, Indiana, trained at Indiana University School of Medicine (class of 1983). Enrolled in Medicare as practitioner - psychiatry.
Overview
| NPI | 1053383083 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D., PH.D. |
| Sole proprietor | No |
| NPI issued | Feb 3, 2006 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Sep 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Addiction Psychiatry Primary | 2084P0802X | 200110234A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (IN) |
|---|
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 1983 |
| Medicare specialty | Psychiatry |
Medical group
- Klarity PCIndianapolis, IN · 10 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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