JACQUELINE A NUVAL (PHD) – Clinical Psychologist, NPI 1356505366
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 CLINICAL PSYCHOLOGIST in IN
Provider Addresses for JACQUELINE A NUVAL (PHD)
6727 Wolverine Way
Indianapolis, IN 462379457
Phone: (317) 750-4099
Fax: (888) 341-5050
Type: Location
4860, Robb Street, Wheat Ridge, Jefferson County, Colorado, 80033, United States
SUITE 201
WHEAT RIDGE, CO 800332184
Phone: (303) 278-7418
Fax: (888) 341-5050
Type: Mailing
2100 N Main St Ste 304
Crown Point, IN 463071877
Phone: (574) 546-1900
Fax: (574) 546-1999
Type: Location
1999 Bryan St Ste 900
Dallas, TX 752013140
Phone: (574) 546-1900
Fax: (574) 546-1999
Type: Location
PO BOX 10299
FORT WAYNE, IN 468510299
Phone: (574) 546-1900
Fax: (574) 546-1999
Type: Mailing
6727, Wolverine Way, Indianapolis, Indiana, 46237, United States
INDIANAPOLIS, IN 462379457
Phone: (317) 750-4099
Fax: (888) 341-5050
Type: Location
4400 EASTON CMNS STE 125
COLUMBUS, OH 432196223
Phone: (574) 546-1900
Fax: (574) 546-1999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2013-10-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131024001077 | I | Clinical Psychologist | IN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 1,292 | 692 | $0 |
| 90785 | Psychiatric services complicated by communication factor | 1,014 | 595 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 260 | 260 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 186 | 186 | $0 |
| 90834 | Psychotherapy, 45 minutes | 77 | 58 | $0 |
Insurance plans in this area (ZIP 46237)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | IN | 90853 | Group psychotherapy | 67 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| Clinical Social Worker | IN | |
| - | IN | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN |
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