Active NPI
William G Kronenberger, PHD
- Psychologist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20040811A
- Practice address
- 1002 Wishard Blvd Ste 4110
Indianapolis, IN 46202-2872 - Phone
- (317) 963-7300
- NPI assigned
- May 20, 2006
- Last updated
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20040811A | IN | Primary |
Addresses
Primary practice location
1002 Wishard Blvd Ste 4110
Indianapolis, IN 46202-2872
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Phone (317) 962-3834
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100416020 | Medicaid | IN | |
| 260023756 | Other | IN | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Iu Health Medical Group Riley Specialists, LLC | Psychologist | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Indiana University Psychiatric Associates, Inc. | Psychologist | Past | Accepting new patients |
| Indiana University Health Care Associates, Inc. | Past | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
1002 Wishard Blvd
Ste 4110
Indianapolis, IN 46202
Phone (317) 274-6450
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
355 W 16th St
Ste 4800
Indianapolis, IN 46202
Phone (317) 963-7288
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
Interoperability endpoints
- wkronen1@direct.iuhealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1699561480
Psychologist
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
dba IU Health Physicians
- Registered Dietitian
- Indianapolis, IN
- NPI 1679949002
-
- Psychiatry Physician
- Indianapolis, IN
- NPI 1023063724
Psychologist
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1184678609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-962-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 WISHARD BLVD STE 4110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022872",
"telephone_number": "317-963-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONENBERGER",
"first_name": "WILLIAM",
"middle_name": "G",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20040811A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100416020",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "260023756",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.