Larry Kiel, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PY116 Issued in MO

Practice address

10000 Watson Rd
Suite S
Saint Louis, MO 63126-1854

Phone

(314) 821-4357

Fax

(314) 822-9255

NPI assigned

Jul 16, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Center for Counseling and Pastoral Care

  • Clinical Social Worker
  • Richmond Heights, MO
  • NPI 1770662199
  NPD

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1508065822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 CRAIGWOODS DR",
            "address_2": "SUITE S",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225516",
            "telephone_number": "314-821-4357",
            "fax_number": "314-822-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD",
            "address_2": "SUITE S",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261854",
            "telephone_number": "314-821-4357",
            "fax_number": "314-822-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEL",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MO",
            "license": "PY116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William F Kiefer, OD
• Kara Laurice Kieffer, NP-C
• Mary M Kiehl, MD
• Karol A. Kiel, MA
• Kelley Marie Kiel, BSN,RN,RNFA,CNOR
• Bridget Marie Kiely, MA, LPC
• Katherine Marie Kiely, PNP
• Jeane E Kiene, FNP-C
• Katherine London Kientzle, MA PLPC
• Robert Kientzle, PHARM IN CHARGE

• Cognitive & Behavioral Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Cognitive & Behavioral Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.