Michael Ross Kandle, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

653 Issued in NH

Practice address

11 Orchard Drive
Durham, NH 03824-0709

Phone

(603) 868-5700

Fax

(603) 868-5700

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467475970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ORCHARD DRIVE",
            "address_2": "P.O. BOX 709",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038240709",
            "telephone_number": "603-868-5700",
            "fax_number": "603-868-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ORCHARD DRIVE",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038240709",
            "telephone_number": "603-868-5700",
            "fax_number": "603-868-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDLE",
        "first_name": "MICHAEL",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002496",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Gertrud Friederike Hoene, M.D.
• Ashley Holmes, RN
• Briana D Inman
• Journeys a Center for Pastoral Psychotherapy & Spiritual Growth
• Kaitlin Michelle Kaldun, FNP
• Molly Keefe, ATC
• Patricia Kelshaw, PHD, LAT, ATC
• Kevin V. Dugas, D.M.D.
• Brooke Elizabeth King
• Renee Carrie Kleszczynski, ATC

• Clinical Psychologist in Durham, NH
• Providers in Durham, NH by specialty
• Clinical Psychologist in New Hampshire

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.