Organization Active NPI

Kara M. Hendry,Psy.D., P.a.

  • Clinical Psychologist
  • St Petersburg, FL
National Provider Identifier
1346364551
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6690 Issued in FL
Legal business name
KARA M. HENDRY,PSY.D., P.A.
Practice address
5348 1St Ave N
St Petersburg, FL 33710-8106
Phone
(727) 322-6123
Fax
(727) 322-6143
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Dr. Kara Matile Hendry, PSY.D., P.A.
Title
President
Phone
(727) 322-6123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6690 FL Primary

Addresses

Primary practice location

5348 1St Ave N
St Petersburg, FL 33710-8106

Mailing address

PO Box 47918
St Petersburg, FL 33743-7918
Phone (727) 322-6123

Other identifiers 1

IdentifierTypeStateIssuer
1306947809OtherFLORIGINAL NPI #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1346364551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47918",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337437918",
            "telephone_number": "727-322-6123",
            "fax_number": "727-322-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108106",
            "telephone_number": "727-322-6123",
            "fax_number": "727-322-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA M. HENDRY,PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "HENDRY",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "MATILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-322-6123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., P.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORIGINAL NPI #",
            "identifier": "1306947809",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.