Active NPI
Aaron John Kivisto, PH.D.
- Clinical Psychologist
- Carmel, IN
National Provider Identifier
1669638458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042629A
- Practice address
- 160 W Carmel Dr Ste 247
Carmel, IN 46032-7586 - Phone
- (317) 960-4899
- Fax
- (317) 960-4899
- NPI assigned
- Aug 1, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042629A | IN | Primary |
Addresses
Primary practice location
160 W Carmel Dr Ste 247
Carmel, IN 46032-7586
Mailing address
160 W Carmel Dr Ste 247
Carmel, IN 46032-7586
Phone (317) 960-4899
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 |
|---|---|---|---|
| 20042629A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1669638458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 W CARMEL DR STE 247",
"city": "CARMEL",
"state": "IN",
"postal_code": "460327586",
"telephone_number": "317-960-4899",
"fax_number": "317-960-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 W CARMEL DR STE 247",
"city": "CARMEL",
"state": "IN",
"postal_code": "460327586",
"telephone_number": "317-960-4899",
"fax_number": "317-960-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIVISTO",
"first_name": "AARON",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-01",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042629A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.