MR. JARED EATON (PSYD, HSPP) – Clinical Psychologist, NPI 1154635043

MR. JARED EATON (PSYD, HSPP) is a healthcare provider. based in Merrillville, Indiana. specializing in Clinical Psychologist. They hold the professional credentials PSYD, HSPP. They hold a License No. 20042868A (IN). The NPI Number for MR. JARED EATON (PSYD, HSPP) is 1154635043

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. JARED EATON (PSYD, HSPP)
NPI
1154635043
Phone
(219) 757-1928
Address
8400 LOUISIANA ST
Enumeration Date
3 August 2010
Last Update Date
17 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2197369115
Graduation Year
2014 (12 years ago)
PAC ID
7719294149
Group Practice PAC ID
5991600355
Professional Enrollment ID
I20150917002416
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for MR. JARED EATON (PSYD, HSPP)

  • 8400 LOUISIANA ST

    MERRILLVILLE, IN 464106385

    Phone: (219) 757-1928

    Fax: (219) 757-1950

    Type: Mailing

  • 1441 E 84TH PL

    MERRILLVILLE, IN 464106451

    Phone: (219) 736-9115

    Fax: (219) 794-2010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150917002416IClinical PsychologistINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46410)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991600355View full group profile
NameSpecialtyState
-IN
P S Y C H I A T R YIN
-IN
-IN
P S Y C H I A T R YIN
Mental Health CounselorIN
Nurse PractitionerIN
P S Y C H I A T R YIL
Nurse PractitionerIN
Family PracticeFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to MR. JARED EATON (PSYD, HSPP)?
The federal identifier for MR. JARED EATON (PSYD, HSPP) is NPI 1154635043.
Does this profile mean MR. JARED EATON (PSYD, HSPP) is currently active?
Yes — MR. JARED EATON (PSYD, HSPP) appears active in the national provider directory.
What kind of provider is MR. JARED EATON (PSYD, HSPP)?
The page reflects Clinical Psychologist for MR. JARED EATON (PSYD, HSPP). Clinical services aligned with this taxonomy classification.
What location shows for MR. JARED EATON (PSYD, HSPP)?
We surface Merrillville, Indiana for MR. JARED EATON (PSYD, HSPP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

1441, East 84th Place, Merrillville, Lake County, Indiana, 46410, United States
NPI: 1124028154
8400, Louisiana Street, Merrillville, Lake County, Indiana, 46410, United States
NPI: 1871593806

EDWARD GURAUSKAS (HSPP)

Clinical Psychologist
8400, Louisiana Street, Merrillville, Lake County, Indiana, 46410, United States
NPI: 1902899388

ERIN MANTIS (HSPP)

Clinical Psychologist
8400, Louisiana Street, Merrillville, Ross Township, Lake County, Indiana, 46410, United States
NPI: 1750365995

DR. CARL STEPHEN MOISOFF (PSYD)

Clinical Psychologist
9910, Arthur Court, Crown Point, Ross Township, Lake County, Indiana, 46307, United States
NPI: 1083680987

DR. NICK JOHNSON (PSYD.)

Clinical Psychologist
3001 GREEN BAY RD
NPI: 1235198532

KALYANI GOPAL (PH.D.)

Clinical Psychologist
7725, Broadway, Chapel Manor, Merrillville, Lake County, Indiana, 46410, United States
NPI: 1922064351

DR. MARY K SUMMERS (PSY.D.)

Clinical Psychologist
1819 FOREST LN
NPI: 1619925054

DR. TODD ALISON SNYDER (PSY.D.)

Clinical Psychologist
350, Marilyn Road, Burns Harbor, Porter County, Indiana, 46304, United States
NPI: 1962456608