Individual provider Active NPI

Allison Martha Charette, ED.S., NCSP

  • School Psychologist
  • Westfield, IN
National Provider Identifier
1447661798
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
10193502 Issued in IN
Practice address
806 Racetime Rd
Westfield, IN 46074-7631
Phone
(920) 980-1172
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1983970 IL
School Psychologist 103TS0200X 10193502 IN Primary

Addresses

Primary practice location

806 Racetime Rd
Westfield, IN 46074-7631

Mailing address

120 E Walnut St
Indianapolis, IN 46204-1312

Other names 1

  • Ms. Allison Martha Kolberg Former name

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
1983970ILMDSchool Psychologist
10193502INMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1447661798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E WALNUT ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 RACETIME RD",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460747631",
            "telephone_number": "920-980-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARETTE",
        "first_name": "ALLISON",
        "middle_name": "MARTHA",
        "name_prefix": "Mrs.",
        "credential": "ED.S., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1983970",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10193502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "KOLBERG",
            "middle_name": "MARTHA",
            "prefix": "MS.",
            "credential": "ED.S., NCSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.