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  7. NPI Record 1699596502

MS. VIRGINIA (GINNY) DARLENE PHEGLEY
Complete NPI Record 1699596502
Psychologist - School in Sullivan, IN

NPI Status: Active since October 23, 2024

Contact Information

415 W FRAKES ST
SULLIVAN, IN
ZIP 47882
Phone: (812) 268-6757

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Name Prefix Text
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Provider Gender Code
  22. Healthcare Provider Taxonomy Code 1
  23. Provider License Number 1
  24. Provider License Number State Code 1
  25. Healthcare Provider Primary Taxonomy Switch 1
  26. Is Sole Proprietor
  27. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1699596502. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1699596502
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider First Name: VIRGINIA (GINNY)
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Middle Name: DARLENE
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Name Prefix Text: MS.
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider First Line Business Mailing Address: 77 A ST NE
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address City Name: LINTON
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: IN
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address Postal Code: 474411838
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Telephone Number: 8122686757
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 415 W FRAKES ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: SULLIVAN
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address State Name: IN
The city name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code: 478827512
The State code in the location of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S : US
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number: 8122686757
The country code in the location address of the provider being identified.
Provider Enumeration Date: 10/23/2024
The telephone number associated with the location address of the provider being identified.
Last Update Date: 10/23/2024
The fax number associated with the location address of the provider being identified.
Provider Gender Code: F
The date the provider was assigned a unique identifier (assigned an NPI).
Healthcare Provider Taxonomy Code 1: 103TS0200X
The date that a record was last updated or changed.
Provider License Number 1: 663486
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider License Number State Code 1: IN
The first name of the authorized official.
Healthcare Provider Primary Taxonomy Switch 1: Y
The middle name of the authorized official.
Is Sole Proprietor: Y
The title or position of the authorized official.
NPI Certification Date: 10/23/2024