Active NPI
Kacey Chandler, PH.D,
- School Psychologist
- Tucson, AZ
National Provider Identifier
1356564686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3385
- Practice address
- 2427 E 2ND St
Tucson, AZ 85719-4932 - Phone
- (520) 225-2931
- NPI assigned
- Apr 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3385 | AZ | Primary |
Addresses
Primary practice location
2427 E 2ND St
Tucson, AZ 85719-4932
Mailing address
2427 E 2ND St
Tucson, AZ 85719-4932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009812 | Medicaid | AZ |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3385 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356564686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2427 E 2ND ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857194932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2427 E 2ND ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857194932",
"telephone_number": "520-225-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "KACEY",
"name_prefix": "Dr.",
"credential": "PH.D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009812",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.