Individual provider Active NPI

Tonia M Kitchel, ED.S., IPE

  • Intellectual & Developmental Disabilities Psychologist
  • Porter, IN
National Provider Identifier
1285071464
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
1307271 Issued in IN
Practice address
751 E Porter Ave Ste 1
Porter, IN 46304-9111
Phone
(219) 786-1582
NPI assigned
May 29, 2013
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 1307271 IN Primary

Addresses

Primary practice location

751 E Porter Ave Ste 1
Porter, IN 46304-9111

Mailing address

751 E Porter Ave Ste 1
Porter, IN 46304-9111
Phone (219) 786-1582

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1307271INMDIntellectual & Developmental Disabilities Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1285071464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E PORTER AVE STE 1",
            "city": "PORTER",
            "state": "IN",
            "postal_code": "463049111",
            "telephone_number": "219-786-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E PORTER AVE STE 1",
            "city": "PORTER",
            "state": "IN",
            "postal_code": "463049111",
            "telephone_number": "219-786-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEL",
        "first_name": "TONIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ED.S., IPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "IN",
            "license": "1307271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.