Individual provider Active NPI

Jennifer Kauder, PHD

  • Psychologist
  • Iowa City, IA
National Provider Identifier
1346576196
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001173 Issued in IA
Practice address
373 Scott CT
Suite a
Iowa City, IA 52245-3952
Phone
(319) 338-9960
Fax
(319) 338-9492
NPI assigned
Oct 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 001173 IA Primary

Addresses

Primary practice location

373 Scott CT
Suite a
Iowa City, IA 52245-3952

Mailing address

373 Scott CT
Suite a
Iowa City, IA 52245-3952
Phone (319) 338-9960

Other identifiers 1

IdentifierTypeStateIssuer
0069468MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 15, 2020 through Jun 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001173IAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prevention Systems, Inc. Past Accepting new patients
Gersh, Hartson, Payne & Associates, PC Psychologist Past Accepting new patients

Organizations & group practices 2

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1346576196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 SCOTT CT",
            "address_2": "SUITE A",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453952",
            "telephone_number": "319-338-9960",
            "fax_number": "319-338-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 SCOTT CT",
            "address_2": "SUITE A",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453952",
            "telephone_number": "319-338-9960",
            "fax_number": "319-338-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUDER",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069468",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.