Kinderbuch US P C

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KINDERBUCH US P C

Practice address

150 Monument Rd
Suite 107
Bala Cynwyd, PA 19004-1702

Phone

(877) 760-5437

Fax

(877) 760-5437

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Betina L Burden

Title

Manager of Operations

Phone

(281) 657-6052

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1073759809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5794",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773255794",
            "telephone_number": "877-760-5437",
            "fax_number": "877-760-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD",
            "address_2": "SUITE 107",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041702",
            "telephone_number": "877-760-5437",
            "fax_number": "877-760-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDERBUCH US P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "BURDEN",
        "authorized_official_first_name": "BETINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "281-657-6052",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS016206",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016206",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.