Organization Active NPI

Kadlec Consulting Services, LLC

  • Clinical Psychologist
  • Fort Wayne, IN
National Provider Identifier
1164052791
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KADLEC CONSULTING SERVICES, LLC
Practice address
5525 Oak Valley PL
Fort Wayne, IN 46845-1836
Phone
(260) 207-4632
Fax
(260) 373-1933
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Mary M KadlecNPI 1700871977
Title
Psychologist
Phone
(260) 207-4632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5525 Oak Valley PL
Fort Wayne, IN 46845-1836

Mailing address

5525 Oak Valley PL
Fort Wayne, IN 46845-1836
Phone (260) 207-4632

National Provider Directory

National Provider Directory

Locations

5525 Oak Valley Pl
Fort Wayne, IN 46845
Phone (260) 226-6135

7311 W Jefferson Blvd
#A
Fort Wayne, IN 46804

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1164052791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 OAK VALLEY PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451836",
            "telephone_number": "260-207-4632",
            "fax_number": "260-373-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 OAK VALLEY PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451836",
            "telephone_number": "260-207-4632",
            "fax_number": "260-373-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADLEC CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "KADLEC",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "260-207-4632"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.