Kindred Care Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KINDRED CARE THERAPY

Practice address

213 Dick St Ste 200
Fayetteville, NC 28301-5771

Phone

(910) 849-8619

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Michelena HendyNPI 1588068886

Title

Owner

Phone

(910) 849-8619

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Michelena Annette Riles Hendy, RBT

  • Developmental Therapist
  • Fayetteville, NC
  • NPI 1588068886
  NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1033737465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BECKFORD LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042906",
            "telephone_number": "910-849-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 DICK ST STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015771",
            "telephone_number": "910-849-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED CARE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "HENDY",
        "authorized_official_first_name": "MICHELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-849-8619"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Sook Kim, L.AC.,OMD
• Joonsung Kim
• Michael S. Kim, OTR/L
• Suzanne Teresa Kim
• Mary Simmons Kinder, MA; PLPC; PLCAS; ABD
• Kindred Spirit Counseling Services PLLC
• Carolyn Laura Kindred, LCMHC
• Canosha King McAllister
• Ashley Jane King, LCMHCA
• Edward Nicholas King, PA-C

• Behavior Analyst in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.