Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jerome Elmer Modlik

Psychologist in Indianapolis, IN · enumerated 2008 · practices at Fairbanks Hospital, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174787436

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Registry record

Entity type Individual (Type 1)

Name Jerome Elmer Modlik

Sex Male

Practice address 8102 Clearvista Pkwy, Indianapolis, IN, 46256

Phone (317) 849-8222

Enumeration date Jul 16, 2008

Last updated in NPPES Jul 16, 2008

Taxonomy & licenses

103T00000X Psychologist Behavioral Health & Social Service Providers · License 20040316A (IN) Primary

103TA0400X Addiction (Substance Use Disorder) Psychologist Behavioral Health & Social Service Providers · License 20040316A (IN) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jerome Modlik's NPI record?

Cross-check NPI 1174787436 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1174787436 active?

Yes, as of the latest NPPES snapshot, NPI 1174787436 is active (record last updated 2008-07-16).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-16.