Kathryn F Zeckel, PSY.D. HSPP

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

20043185A Issued in IN

Practice address

617 Franklin St Ste 7
Michigan City, IN 46360-3411

Phone

(219) 561-0168

NPI assigned

Apr 2, 2018

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn F Meyer Former name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Psychology, LLC

  • Health Service Psychologist
  • Michigan City, IN
  • NPI 1477159622
  Medicare reassignment NPD Authorized official
• Lpa Co.

  • Marriage & Family Therapist
  • Valparaiso, IN
  • NPI 1952852105
  NPD (past)
• Virtual Consult MD LLC

  • Psychiatry Physician
  • Evansville, IN
  • NPI 1871966523
  NPD (past)

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1679079420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 ST JOHN RD # 100",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607336",
            "telephone_number": "219-561-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 FRANKLIN ST STE 7",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603411",
            "telephone_number": "219-561-0168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 E Madison St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466172322",
            "country_code": "US",
            "telephone_number": "574-533-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Woodland Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463607391",
            "country_code": "US",
            "telephone_number": "219-628-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZECKEL",
        "first_name": "KATHRYN",
        "middle_name": "F",
        "credential": "PSY.D. HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20043185A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MEYER",
            "middle_name": "F",
            "credential": "PSY.D. HSPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natasha Yuhasz
• Debra A Zack, DO
• Laura G Zaknoun, OD
• Megan Jane Zaknoun, DPT
• Caitlyn Zappetillo
• Zoey V Zeien, DC
• Ossama Hosney Zorub, M.D.

• Health Service Psychologist in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Health Service Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.