Organization Active NPI

KMV Psychological Services, P.C.

  • Clinical Psychologist
  • Greenwood, IN
National Provider Identifier
1417216953
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
200410410A Issued in IN
Legal business name
KMV PSYCHOLOGICAL SERVICES, P.C.
Practice address
3209 W Smith Valley Rd
Suite 232
Greenwood, IN 46142-8495
Phone
(317) 884-3132
Fax
(317) 884-3131
NPI assigned
May 3, 2012
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Kathleen Mary Vogler, PH.D.NPI 1104934900
Title
Psychologist
Phone
(317) 884-3132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 200410410A IN Primary

Addresses

Primary practice location

3209 W Smith Valley Rd
Suite 232
Greenwood, IN 46142-8495

Mailing address

3209 W Smith Valley Rd
Suite 232
Greenwood, IN 46142-8495
Phone (317) 884-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120803000208 IN Part B Supplier - Clinic/Group Practice 2961658174 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood, IN

National Provider Directory

National Provider Directory

Locations

3209 W Smith Valley Rd
Ste 232
Greenwood, IN 46142
Phone (317) 884-3132

438 S Emerson Ave
Ste 153
Greenwood, IN 46143
Phone (317) 886-7804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1417216953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD",
            "address_2": "SUITE 232",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428495",
            "telephone_number": "317-884-3132",
            "fax_number": "317-884-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD",
            "address_2": "SUITE 232",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428495",
            "telephone_number": "317-884-3132",
            "fax_number": "317-884-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMV PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "VOGLER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "317-884-3132",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "200410410A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.