Kimberly K. Hyatt Psychotherapy, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E0004145 Issued in OH

Legal business name

KIMBERLY K. HYATT PSYCHOTHERAPY, LLC

Practice address

500 Lincoln Park Blvd Ste 108
Kettering, OH 45429-3492

Phone

(937) 938-7242

Fax

(937) 938-7355

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly K. Hyatt, MSEDNPI 1518020833

Title

Professional Clinical Counselor

Phone

(937) 938-7242

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.

• Kimberly Kae Hyatt, MSED PCC CCDCI

  • Counselor
  • Kettering, OH
  • NPI 1518020833
  NPD (past) Authorized official

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1144478116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD STE 108",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293492",
            "telephone_number": "937-938-7242",
            "fax_number": "937-938-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD STE 108",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293492",
            "telephone_number": "937-938-7242",
            "fax_number": "937-938-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY K. HYATT PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "937-938-7242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0004145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick James Kiggins, D.D.S.
• John C Kihn Sr., PHARMACIST
• Timothy Kilmer
• Robert Kim, M.D.
• Seongbae Kim, M.D.
• Deborah Suzanne Kindred, RRT
• Bradley King, DO
• Brigette King
• Jane King, CNP
• Lida King, PNP

• Counselor in Kettering, OH
• Providers in Kettering, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.