Kokomo Academy

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KOKOMO ACADEMY

Practice address

623 S Berkley Rd
Kokomo, IN 46901-5150

Phone

(765) 452-9989

NPI assigned

Jan 22, 2008

Organization subpart

Yes

Parent organization

CORRECTIONAL MANAGEMENT COMPANYAs reported in NPPES

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

Authorized official

Name

Roger Snyder, CFO

Title

Vice President

Phone

(317) 274-1359

Specialties & licenses 1

Addresses

Tax ID family

Correctional Management Company2 organizations share this tax ID, including this one

Part of

Correctional Management Company

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Correctional Management Company

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1396924742
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Correctional Management Company

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1396924742
  NPPES parent name

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1043496060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 KEYSTONE CROSSING",
            "address_2": "STE 1040",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46240",
            "telephone_number": "317-694-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S BERKLEY RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015150",
            "telephone_number": "765-452-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOMO ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORRECTIONAL MANAGEMENT COMPANY",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-274-1359",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Knott
• Brenner Knowles
• Hannah Degroot Koch, OD
• Michael G Koelsch, MD
• Rachel Koh, DDS
• Kokomo Ambulatory Surgery Center
• Kokomo Anesthesia Services Inc
• Kokomo BG Opco LLC
• Kokomo Cab LLC
• Kokomo Center for Outpatient Surgery LLC

• Clinical Psychologist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.