Active NPI
Kathryn Thor Boggs, PH.D.
- Psychologist
- Richmond, KY
National Provider Identifier
1619418092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 130312
- Practice address
- 1421 Lexington Rd
Richmond, KY 40475-1059 - Phone
- (859) 624-2454
- NPI assigned
- Mar 17, 2017
- 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 | 130312 | KY | Primary |
Addresses
Primary practice location
1421 Lexington Rd
Richmond, KY 40475-1059
Mailing address
429 S Sharon Amity Rd Ste C
Charlotte, NC 28211-2866
Phone (859) 227-9922
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 |
|---|---|---|---|
| 130312 | KY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindpsi: School Psychological Services, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Richmond, KY
- NPI 1245498872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1619418092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 S SHARON AMITY RD STE C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112866",
"telephone_number": "859-227-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 LEXINGTON RD",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404751059",
"telephone_number": "859-624-2454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "KATHRYN",
"middle_name": "THOR",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-17",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "130312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.