Active NPI
Kristen Heather Cole, PSY.D.
- Psychologist
- Indianapolis, IN
National Provider Identifier
1629459805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20042865A
- Practice address
- 350 E New York St Ste 240
Indianapolis, IN 46204-2134 - Phone
- (317) 483-1285
- NPI assigned
- Jun 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 20042865A | IN | Primary |
Addresses
Primary practice location
350 E New York St Ste 240
Indianapolis, IN 46204-2134
Mailing address
3465 N County Road 800 E
Brownsburg, IN 46112-9382
Phone (317) 483-1285
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042865A | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434240000000",
"number": "1629459805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 N COUNTY ROAD 800 E",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461129382",
"telephone_number": "317-483-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E NEW YORK ST STE 240",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462042134",
"telephone_number": "317-483-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "KRISTEN",
"middle_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-14",
"last_updated": "2015-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20042865A",
"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 Jun 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.