Active NPI
Kasee Carlstedt, PSY.D.
- Clinical Psychologist
- Muncie, IN
National Provider Identifier
1104155787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042394A
- Practice address
- 2205 N Wheeling Ave
Muncie, IN 47303-1602 - Phone
- (765) 284-0043
- Fax
- (765) 284-4112
- NPI assigned
- Dec 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042394A | IN | Primary |
Addresses
Primary practice location
2205 N Wheeling Ave
Muncie, IN 47303-1602
Mailing address
2205 N Wheeling Ave
Muncie, IN 47303-1602
Phone (765) 284-0043
Other names 1
- Kasee Matters
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042394A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1104155787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 N WHEELING AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031602",
"telephone_number": "765-284-0043",
"fax_number": "765-284-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 N WHEELING AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031602",
"telephone_number": "765-284-0043",
"fax_number": "765-284-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSTEDT",
"first_name": "KASEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042394A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KASEE",
"last_name": "MATTERS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.