Kenneth D. Allred, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1533 Issued in CO

Legal business name

KENNETH D. ALLRED, PH.D., P.C.

Practice address

121 South Tejon St.
Suite 1107
Colorado Springs, CO 80903-2214

Phone

(719) 590-6005

Fax

(719) 590-6030

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth D. Allred, PH.D.NPI 1639252174

Title

Clinical Psychologist

Phone

(719) 590-6005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Duane Allred, PH.D.

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1639252174
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1497064984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SOUTH TEJON ST.",
            "address_2": "SUITE 1107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032214",
            "telephone_number": "719-590-6005",
            "fax_number": "719-590-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SOUTH TEJON ST.",
            "address_2": "SUITE 1107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032214",
            "telephone_number": "719-590-6005",
            "fax_number": "719-590-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D. ALLRED, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "719-590-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Gagaza Kennedy, PTA
• Wade Alexander Kennedy, DMD
• Emily Morgan Kenner, PSYD
• Lisa Kenner
• Kenneth C. Pollary DDS PLLC
• Kenneth O Gasper II DDS PC
• Kenneth R Gamblin, M.D., P.C.
• Angela Dee Kenney, QBHA, CPFS
• Kathleen S Kenny, RPH, PHARMD
• Michael Phillip Kenny, PSY.D.

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.