Kurt M. Hoffman, PSY.D., HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041663A Issued in IN

Practice address

130 W Main St
Suite L
Fort Wayne, IN 46802-1712

Phone

(260) 418-1816

Fax

(877) 418-1816

NPI assigned

Mar 15, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hoffman Psychological Services, LLC

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
  • NPI 1134300825
  NPD (past) Authorized official
• Center for Brief Therapy PC

  • Prescribing (Medical) Psychologist
  • Ft. Wayne, IN
  • NPI 1285839480
  NPD (past)
• Park Center Inc

  • Psychiatric Hospital
  • Fort Wayne, IN
  • NPI 1457772402
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234656000000",
    "number": "1477522282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST",
            "address_2": "SUITE L",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021712",
            "telephone_number": "260-418-1816",
            "fax_number": "877-418-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST",
            "address_2": "SUITE L",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021712",
            "telephone_number": "260-418-1816",
            "fax_number": "877-418-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KURT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041663A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200802480",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hoffman Psychological Services, LLC
• Brittani Hoffman
• Gregory A Hoffman, MD
• Hunter J Hoffman
• Janaya Nichole Hoffman, DPT
• Laura Mitchell Hoffman, LCSW
• Michaela Hoffman, LAT, ATC, CSCS
• Michelle A. Hoffman, MSSA, LSW
• Theresa K Hoffman, DO
• Thomas Joseph Hoffman, DDS

• All providers in Fort Wayne, IN
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.