Robert Beedle, PHD
NPI 1982386751ActiveIndividual· Psychologist, Clinical· East Chicago, IN
Psychologist, Clinical (PHD) with Southlake Community Mental Health Center Inc, practicing in East Chicago, Indiana. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1982386751 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Aug 2, 2023 |
| Last updated in NPPES | Nov 4, 2024 |
| Certified by provider | Nov 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 20053875B | IN |
| Psychologist | 103T00000X | 20043875A | IN |
| Community Health Worker | 172V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IN) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Southlake Community Mental Health Center IncMerrillville, IN · 39 clinicians
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