Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Great Lakes Institute for Neuropsychology & Behavioral Health

Clinical Psychologist in Greenwood, IN · enumerated 2007 · authorized official Sanford Pederson, President.

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

National Provider Identifier

1750599981

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Registry record

Entity type Organization (Type 2)

Legal business name Great Lakes Institute for Neuropsychology & Behavioral Health

Practice address 494 S Emerson Ave, Suite C, Greenwood, IN, 46143

Phone (317) 889-3901

Fax (317) 889-3902

Enumeration date May 20, 2007

Last updated in NPPES Jun 7, 2024

Taxonomy & classification

103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers Secondary

103TA0700X Adult Development & Aging Psychologist Behavioral Health & Social Service Providers Secondary

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Primary

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Secondary

103TF0200X Forensic Psychologist Behavioral Health & Social Service Providers Secondary

103TH0004X Health Psychologist Behavioral Health & Social Service Providers Secondary

103TH0100X Health Service Psychologist Behavioral Health & Social Service Providers Secondary

103TR0400X Rehabilitation Psychologist Behavioral Health & Social Service Providers Secondary

Authorized official

Name Sanford Pederson

Title President

Phone (317) 889-3901

Other identifiers

Identifier	Type	State	Issuer
200227370	Medicaid	IN	-

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 Great Lakes Institute for Neuropsychology & Behavioral Health?

NPPES lists Sanford Pederson (President) as the authorized official for this organization.

What is the NPI number for Great Lakes Institute for Neuropsychology & Behavioral Health?

The NPI for Great Lakes Institute for Neuropsychology & Behavioral Health is 1750599981, 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 2024-06-07.