Paul Peter Kadis

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4091 Issued in OH

Legal business name

PAUL PETER KADIS

Practice address

105 W North College St
The Humanist Center, Suite 8
Yellow Springs, OH 45387-1500

Phone

(937) 767-9700

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Cris Cox

Title

Office Manager

Phone

(937) 767-9700

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1215194998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W NORTH COLLEGE ST",
            "address_2": "THE HUMANIST CENTER, SUITE 8",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871500",
            "telephone_number": "937-767-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W NORTH COLLEGE ST",
            "address_2": "THE HUMANIST CENTER, SUITE 8",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871500",
            "telephone_number": "937-767-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PETER KADIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-767-9700"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4091",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "4091",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OH",
            "license": "4091",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4091",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "4091",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "OH",
            "license": "4091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathryn Ingrid Poppe, RDN

• Clinical Psychologist in Yellow Springs, OH
• Providers in Yellow Springs, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.