NPIMap

Organization Active NPI

Kenneth P. Lindsey, PHD, PA

  • Psychologist
  • Pocatello, ID
National Provider Identifier
1255459608
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY327 Issued in ID
Legal business name
KENNETH P. LINDSEY, PHD, PA
Practice address
1151D Hospital Way
Suite 204
Pocatello, ID 83201-2763
Phone
(208) 237-2446
Fax
(208) 237-2466
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Kenneth P. Lindsey, PHD.
Title
President
Phone
(208) 237-2446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY327 ID Primary

Addresses

Primary practice location

1151D Hospital Way
Suite 204
Pocatello, ID 83201-2763

Mailing address

PO Box 4285
Pocatello, ID 83205-4285
Phone (208) 236-1600

National Provider Directory

National Provider Directory

Locations

1619 Curlew Dr
Ste 4
Ammon, ID 83406
Phone (208) 523-5076

3417 Merlin Dr
Ste 102
Idaho Falls, ID 83404
Phone (208) 552-0850

Practitioners & affiliated clinicians

Practitioners 6

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1255459608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4285",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054285",
            "telephone_number": "208-236-1600",
            "fax_number": "208-236-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151D HOSPITAL WAY",
            "address_2": "SUITE 204",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012763",
            "telephone_number": "208-237-2446",
            "fax_number": "208-237-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH P. LINDSEY, PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-237-2446",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.