Jean L Kristeller PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JEAN L KRISTELLER PH D

Practice address

The Maple Center Attn: Jean Kristeller
1801 N 6TH St Ste 600
Terre Haute, IN 47804-4047

Phone

(812) 240-5790

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Jean Lorraine Kristeller, PH D, LCPNPI 1629143284

Title

Owner

Phone

(812) 877-3760

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean L. Kristeller, PH.D.

  • Clinical Psychologist
  • Terre Haute, IN
  • NPI 1629143284
  NPD Authorized official

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1023762176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 LANCASHIRE CT",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032092",
            "telephone_number": "812-877-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE MAPLE CENTER ATTN: JEAN KRISTELLER",
            "address_2": "1801 N 6TH ST STE 600",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044047",
            "telephone_number": "812-240-5790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Ohio Blvd Rm 1444",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478032239",
            "country_code": "US",
            "telephone_number": "812-240-5790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEAN L KRISTELLER PH D",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "KRISTELLER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-877-3760",
        "authorized_official_credential": "PH D, LCP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah J James, RD, LD
• David J Janicki, MD
• Janus RX
• Morgan McKayla Jarvis, DNP, CRNA
• Lynnaire Jastillano, PA-C
• Raj Jeevan, M.D.
• Asieavae M Jeffers
• Jeffery a Bollenbacher DO PSC (Sports Orthopedics PC)
• Lauren Jenkins, OD
• Gregory D. Jennings, DDS

• Clinical Psychologist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.