Individual provider Active NPI

Kathryn Ambeau, PH.D.

  • Psychologist
  • Castle Rock, CO
National Provider Identifier
1023325271
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1267 Issued in LA
Practice address
1168 Lost Elk Cir
Castle Rock, CO 80108-8739
Phone
(504) 289-5995
Fax
(504) 553-1096
NPI assigned
Sep 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1267 LA Primary

Addresses

Primary practice location

1168 Lost Elk Cir
Castle Rock, CO 80108-8739

Mailing address

1168 Lost Elk Cir
Castle Rock, CO 80108-8739
Phone (504) 289-5995

Other identifiers 1

IdentifierTypeStateIssuer
1267OtherLALA LICENSE

Other names 1

  • Kathryn Lawing Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1023325271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 LOST ELK CIR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801088739",
            "telephone_number": "504-289-5995",
            "fax_number": "504-553-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 LOST ELK CIR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801088739",
            "telephone_number": "504-289-5995",
            "fax_number": "504-553-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBEAU",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "1267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA LICENSE",
            "identifier": "1267",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "LAWING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.