Active NPI
M Jackson Kahle, PH.D.
- Forensic Psychologist
- Soledad, CA
National Provider Identifier
1487832192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY10634
- Practice address
- 31685 Hiway 101
Salinas Valley State Prison, Mental Health
Soledad, CA 93960 - Phone
- (831) 678-5676
- Fax
- (831) 678-5660
- NPI assigned
- Feb 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY10634 | CA | Primary |
Addresses
Primary practice location
31685 Hiway 101
Salinas Valley State Prison, Mental Health
Soledad, CA 93960
Mailing address
129 Spray Ave
Monterey, CA 93940-3411
Phone (707) 337-9008
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10634 | CA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1487832192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 SPRAY AVE",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403411",
"telephone_number": "707-337-9008",
"fax_number": "831-372-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31685 HIWAY 101",
"address_2": "SALINAS VALLEY STATE PRISON, MENTAL HEALTH",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "93960",
"telephone_number": "831-678-5676",
"fax_number": "831-678-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHLE",
"first_name": "M JACKSON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY10634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soledad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.