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Psychological Service Associates, Inc

Psychologist in Fort Wayne, IN · enumerated 2006 · authorized official Jere Leib, President.

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

National Provider Identifier

1558441063

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Registry record

Entity type Organization (Type 2)
Legal business name Psychological Service Associates, Inc
Practice address 3421 E State Blvd, Fort Wayne, IN, 46805
Phone (260) 482-8427
Fax (260) 482-8429
Enumeration date Oct 17, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Primary
103TA0700X Adult Development & Aging Psychologist Behavioral Health & Social Service Providers Secondary
103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Secondary
103TF0000X Family Psychologist Behavioral Health & Social Service Providers Secondary
103TF0200X Forensic Psychologist Behavioral Health & Social Service Providers Secondary
103TH0100X Health Service Psychologist Behavioral Health & Social Service Providers Secondary

Authorized official

Name Jere Leib
Title President
Phone (260) 482-8427

Other identifiers

Identifier Type State Issuer
000000176183 Other IN BCBS GROUP

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

Who is the authorized official for Psychological Service Associates, Inc?
NPPES lists Jere Leib (President) as the authorized official for this organization.
What is the NPI number for Psychological Service Associates, Inc?
The NPI for Psychological Service Associates, Inc is 1558441063, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.