Organization Active NPI

Kane Loveridge Psychological Services LLC

  • Health Service Psychologist
  • New Castle, IN
National Provider Identifier
1275929903
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
20042765A Issued in IN
Legal business name
KANE LOVERIDGE PSYCHOLOGICAL SERVICES LLC
Practice address
2020 S Memorial Dr
Suite I
New Castle, IN 47362-1272
Phone
(765) 465-3387
Fax
(888) 441-0850
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Dr. Erica D Kane, PSYD, HSPPNPI 1760803100
Title
Owner
Phone
(765) 388-2671

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
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X 20042765A IN Primary

Addresses

Primary practice location

2020 S Memorial Dr
Suite I
New Castle, IN 47362-1272

Mailing address

3900 S Memorial Dr Ste a
New Castle, IN 47362-1307
Phone (765) 388-2671

Other names 1

  • Kane Loveridge Wellness Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160831002233 IN Part B Supplier - Clinic/Group Practice 0446546329 Receives reassigned benefits from 1 practitioner
Practice locations: Elwood, IN; New Castle, IN

National Provider Directory

National Provider Directory

Locations

3900 S Memorial Dr
Ste A
New Castle, IN 47362
Phone (765) 388-2671

200 N 12th St
New Castle, IN 47362
Phone (765) 388-2671

Practitioners & affiliated clinicians

Practitioners 4

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": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1275929903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S MEMORIAL DR STE A",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473621307",
            "telephone_number": "765-388-2671",
            "fax_number": "888-441-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S MEMORIAL DR",
            "address_2": "SUITE I",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473621272",
            "telephone_number": "765-465-3387",
            "fax_number": "888-441-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANE LOVERIDGE PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-388-2671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, HSPP"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20042765A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kane Loveridge Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.