DR. BRANDI NICOLE CAUDILL-ROACH (PHD) – Psychologist, NPI 1316689672

DR. BRANDI NICOLE CAUDILL-ROACH (PHD) is a healthcare provider. based in Terre haute, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 20043538A (IN). The NPI Number for DR. BRANDI NICOLE CAUDILL-ROACH (PHD) is 1316689672

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRANDI NICOLE CAUDILL-ROACH (PHD)
NPI
1316689672
Phone
(812) 235-6121
Address
2740 S 7TH ST
Enumeration Date
8 April 2022
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122356121
Graduation Year
2021 (5 years ago)
PAC ID
1759766256
Group Practice PAC ID
3577611334
Professional Enrollment ID
I20220920001897
Address ID
IN478023559TE2740XSTXX400

Contacts

Main Contact
bncr2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

450 CLINICAL PSYCHOLOGIST in IN

Provider Addresses for DR. BRANDI NICOLE CAUDILL-ROACH (PHD)

  • 2740 S 7TH ST

    TERRE HAUTE, IN 478023559

    Phone: (812) 235-6121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2022-09-20

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
I20220920001897IClinical 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 47802)

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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: 3577611334View full group profile
NameSpecialtyState
Clinical PsychologistIN
-IN
Clinical PsychologistIN
Clinical PsychologistIN
Clinical PsychologistIN
Mental Health CounselorIN
Clinical PsychologistIN
Clinical PsychologistIN

Reviews

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Frequently asked questions

How do payers reference DR. BRANDI NICOLE CAUDILL-ROACH (PHD)?
For DR. BRANDI NICOLE CAUDILL-ROACH (PHD), use NPI 1316689672 as the unique 10-digit identifier.
Active or inactive — what applies to DR. BRANDI NICOLE CAUDILL-ROACH (PHD)?
You should see DR. BRANDI NICOLE CAUDILL-ROACH (PHD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. BRANDI NICOLE CAUDILL-ROACH (PHD)?
DR. BRANDI NICOLE CAUDILL-ROACH (PHD)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. BRANDI NICOLE CAUDILL-ROACH (PHD) associated with Terre Haute?
Public fields place DR. BRANDI NICOLE CAUDILL-ROACH (PHD) around Terre Haute, Indiana. Always confirm the exact site before visiting.
Does DR. BRANDI NICOLE CAUDILL-ROACH (PHD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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