Active NPI
Kimberly Ann Duffey, PHD
- Psychologist
- Indianapolis, IN
National Provider Identifier
1609858901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20040713
- Practice address
- 9002 N Meridian St
Ste 110
Indianapolis, IN 46260-5381 - Phone
- (317) 844-9440
- Fax
- (317) 844-9441
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20040713 | IN | Primary |
Addresses
Primary practice location
9002 N Meridian St
Ste 110
Indianapolis, IN 46260-5381
Mailing address
9002 N Meridian St
Ste 110
Indianapolis, IN 46260-5381
Phone (317) 844-9440
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 |
|---|---|---|---|
| 20040713 | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609858901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9002 N MERIDIAN ST",
"address_2": "STE 110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605381",
"telephone_number": "317-844-9440",
"fax_number": "317-844-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9002 N MERIDIAN ST",
"address_2": "STE 110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605381",
"telephone_number": "317-844-9440",
"fax_number": "317-844-9441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFEY",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20040713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.