Active NPI
Terrance James Kukor, PH.D.
- Forensic Psychologist
- Columbus, OH
National Provider Identifier
1205343241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 5594
- Practice address
- 3081 Sullivant Ave
Columbus, OH 43204-1831 - Phone
- (614) 278-0152
- NPI assigned
- Dec 29, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 5594 | OH | Primary |
Addresses
Primary practice location
3081 Sullivant Ave
Columbus, OH 43204-1831
Mailing address
3081 Sullivant Ave
Columbus, OH 43204-1831
Phone (614) 278-0152
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5594 | OH | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514505600000",
"number": "1205343241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3081 SULLIVANT AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432041831",
"telephone_number": "614-278-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3081 SULLIVANT AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432041831",
"telephone_number": "614-278-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUKOR",
"first_name": "TERRANCE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-29",
"last_updated": "2017-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "OH",
"license": "5594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.