Active NPI
Kathleen M Spencer, PH.D.
- Psychologist
- Richmond, KY
National Provider Identifier
1639318793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1529
- Practice address
- 521 Lancaster Ave
SSB 571, Cpo 52
Richmond, KY 40475-3100 - Phone
- (859) 622-1303
- NPI assigned
- Feb 12, 2009
- Last updated
- Feb 12, 2009
- 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 | 1529 | KY | Primary |
Addresses
Primary practice location
521 Lancaster Ave
SSB 571, Cpo 52
Richmond, KY 40475-3100
Mailing address
521 Lancaster Ave
SSB 571, Cpo 52
Richmond, KY 40475-3100
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 |
|---|---|---|---|
| 1529 | KY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1639318793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 LANCASTER AVE",
"address_2": "SSB 571, CPO 52",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 LANCASTER AVE",
"address_2": "SSB 571, CPO 52",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753100",
"telephone_number": "859-622-1303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-12",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "1529",
"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 Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.