Individual provider Active NPI

Kathryn Kurivial, PSY.D.

  • Clinical Psychologist
  • Paoli, PA
National Provider Identifier
1407212764
Registry record updated Jan 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-017900 Issued in PA
Practice address
41 Leopard Rd
Executive Green Building 1, Suite 304
Paoli, PA 19301-1549
Phone
(610) 647-6406
Fax
(610) 407-0302
NPI assigned
Jan 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS-017900 PA Primary

Addresses

Primary practice location

41 Leopard Rd
Executive Green Building 1, Suite 304
Paoli, PA 19301-1549

Mailing address

41 Leopard Rd
Executive Green Building 1, Suite 304
Paoli, PA 19301-1549
Phone (610) 647-6406

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
PS-017900PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn E. Kurivial, PSYD, LLC Clinical Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451606400000",
    "number": "1407212764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LEOPARD RD",
            "address_2": "EXECUTIVE GREEN BUILDING 1, SUITE 304",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011549",
            "telephone_number": "610-647-6406",
            "fax_number": "610-407-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 LEOPARD RD",
            "address_2": "EXECUTIVE GREEN BUILDING 1, SUITE 304",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011549",
            "telephone_number": "610-647-6406",
            "fax_number": "610-407-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIVIAL",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-01",
        "last_updated": "2016-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-017900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2016; 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.