LUCILLE GOTANCO M.D. – NPI #1578784393
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

LUCILLE GOTANCO is a psychiatry & neurologist located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1578784393 to LUCILLE GOTANCO on May 01, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 7 years ago on Aug 08, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUCILLE GOTANCO below.

NPI Profile for
LUCILLE GOTANCO

NPI Number
1578784393
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LUCILLE GOTANCO
Credentials
M.D.
Primary location
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Phone: (317) 621-5100 Fax:
1 Other location(s):
8535 Tom Slick
San Antonio, TX 78229-3367
Phone: (210) 582-6440
Fax: (210) 692-9021
Mailing address
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)
IN 01081827A
2084P0800X
- Psychiatry & Neurology / Psychiatry
TX M6636

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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