Active NPI
Kipp Verling Kastens, M.D.
- Child & Adolescent Psychiatry Physician
- Columbus, OH
National Provider Identifier
1467548024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 35 036184
- Practice address
- 6435 E Broad St
Columbus, OH 43213-1507 - Phone
- (614) 355-8160
- Fax
- (614) 355-8180
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35 036184 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35 036184 | OH | Primary |
Addresses
Primary practice location
6435 E Broad St
Columbus, OH 43213-1507
Mailing address
6440 Meadowbrook Cir
Worthington, OH 43085
Phone (614) 436-2317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0363593 | Medicaid | OH |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 036184 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1467548024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 MEADOWBROOK CIR",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "43085",
"telephone_number": "614-436-2317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6435 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131507",
"telephone_number": "614-355-8160",
"fax_number": "614-355-8180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTENS",
"first_name": "KIPP",
"middle_name": "VERLING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35 036184",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "35 036184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0363593",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.