Individual provider Active NPI

Deborah Ann Kalnen, M.A., L. P. A.

  • Psychologist
  • Jacksonville, NC
National Provider Identifier
1447489596
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3776 Issued in NC
Practice address
1703 Country Club Rd
Jacksonville, NC 28546-6008
Phone
(910) 347-3010
NPI assigned
Jul 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3776 NC Primary

Addresses

Primary practice location

1703 Country Club Rd
Jacksonville, NC 28546-6008

Mailing address

2400 Scotts Hill Loop Rd
Wilmington, NC 28411-6626
Phone (910) 443-3288

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
3776NCMDDentist

Interoperability endpoints

  • Direct secure messaging: dkalnen@family-works-psychologic.direct.kno2fy.com

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1447489596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SCOTTS HILL LOOP RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116626",
            "telephone_number": "910-443-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466008",
            "telephone_number": "910-347-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALNEN",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "M.A., L. P. A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.