Active NPI
Karin M Tonkin, PHD,HSPP
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1649396904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042162A
- Practice address
- 6640 Intech Blvd
Suite 190
Indianapolis, IN 46278-2011 - Phone
- (317) 295-0608
- Fax
- (317) 295-0622
- NPI assigned
- Mar 21, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042162A | IN | Primary |
Addresses
Primary practice location
6640 Intech Blvd
Suite 190
Indianapolis, IN 46278-2011
Mailing address
3937 Sunset Blvd Ste B
West Columbia, SC 29169-2423
Phone (803) 900-4890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200856830 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTC Therapy Solutions LLC | Current | Accepting new patients | |
| Indiana University Health, Inc | Clinical | Past | Accepting new patients |
Locations
3681 Leaphart Rd
Ste A
West Columbia, SC 29169
Phone (803) 454-6090
Organizations & group practices 2
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.
-
- Rehabilitation Practitioner
- Columbia, SC
- NPI 1497111397
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1376586719
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1649396904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3937 SUNSET BLVD STE B",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291692423",
"telephone_number": "803-900-4890",
"fax_number": "803-931-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6640 INTECH BLVD",
"address_2": "SUITE 190",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462782011",
"telephone_number": "317-295-0608",
"fax_number": "317-295-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONKIN",
"first_name": "KARIN",
"middle_name": "M",
"credential": "PHD,HSPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042162A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200856830",
"state": "IN"
}
],
"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 Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.