Individual provider Active NPI

Rachel Kinkoph, ED.S.

  • School Psychologist
  • Indianapolis, IN
National Provider Identifier
1295552784
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
10104592 Issued in IN
Practice address
5701 Brill Rd
Indianapolis, IN 46227-1908
Phone
(317) 789-3600
Fax
(317) 780-4285
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 10104592 IN Primary

Addresses

Primary practice location

5701 Brill Rd
Indianapolis, IN 46227-1908

Mailing address

6548 Orinoco Ave
Indianapolis, IN 46227-4820
Phone (317) 789-3700

Other names 1

  • Rachel Weddle Former name

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
10104592INMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan School District of Perry Township PastSince Sep 29, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1295552784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 ORINOCO AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462274820",
            "telephone_number": "317-789-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BRILL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271908",
            "telephone_number": "317-789-3600",
            "fax_number": "317-780-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINKOPH",
        "first_name": "RACHEL",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10104592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WEDDLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.