Kenneth J. Victor, PSYD, HSPP, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041162 Issued in IN

Legal business name

KENNETH J. VICTOR, PSYD, HSPP, LLC

Practice address

2321 N 10TH St
Terre Haute, IN 47804-2310

Phone

(812) 238-7384

Fax

(812) 238-7002

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Joseph Victor, PSY.D.

Title

Owner

Phone

(812) 238-7384

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1639158348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 N 10TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042310",
            "telephone_number": "812-238-7384",
            "fax_number": "812-238-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N 10TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042310",
            "telephone_number": "812-238-7384",
            "fax_number": "812-238-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J. VICTOR, PSYD, HSPP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-238-7384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Anne Kempf, PMHNP
• Kennedy Foot Care LLC
• Bailey Kennedy, RBT
• Wendy K Kennedy, DPM
• Richard G Kennel, PH.D.
• Adam Kensell, BS, CADAC II
• Elizabeth Mary Kent
• Taylor Drake Kenyon, MS, MPH
• Kepler Inpatient Services
• Ashton Joshua Kerns

• Clinical Psychologist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.