Kaleidascope Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS006926L Issued in PA

Legal business name

KALEIDASCOPE INC

Practice address

4934 Peach St FL 2
Erie, PA 16509-2043

Phone

(814) 824-4515

Fax

(814) 824-4533

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Janice Reardon Lane, MS

Title

Executive Director

Phone

(814) 824-4515

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1568656908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 PEACH ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092043",
            "telephone_number": "814-824-4515",
            "fax_number": "814-824-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 PEACH ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092043",
            "telephone_number": "814-824-4515",
            "fax_number": "814-824-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDASCOPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "REARDON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-824-4515",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006926L",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000031",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jonathan Kadouri, MD
• Alicia Rose Kadunce
• Samantha Kaiser, ATC
• Kalata Family Practice
• John Joseph Kalata, DO
• Kaleigh Turick Ms, NCC, LPC
• Sahand Kalhori, DO
• Christine Kalie, LPC
• Jawaid Kalim
• Ashley Kalinowski, NP

• Psychologist in Erie, PA
• Providers in Erie, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.