Individual provider Active NPI

Kathryn Hinkhouse, ED.S.

  • School Psychologist
  • Port Saint Lucie, FL
National Provider Identifier
1689459539
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
24415411 Issued in CO
Practice address
9148 Pumpkin RDG
Port Saint Lucie, FL 34986-3336
Phone
(719) 343-0341
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 24415411 CO Primary

Addresses

Primary practice location

9148 Pumpkin RDG
Port Saint Lucie, FL 34986-3336

Mailing address

9148 Pumpkin RDG
Port Saint Lucie, FL 34986-3336
Phone (719) 343-0341

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

State licenses

LicenseStateTypeSpecialty
24415411COMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1689459539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9148 PUMPKIN RDG",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863336",
            "telephone_number": "719-343-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9148 PUMPKIN RDG",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863336",
            "telephone_number": "719-343-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKHOUSE",
        "first_name": "KATHRYN",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CO",
            "license": "24415411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.