Kathryn Elizabeth Pullicino, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20043525A Issued in IN

Practice address

6335 S East St
Indianapolis, IN 46227-7112

Phone

(317) 780-1610

NPI assigned

Jun 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Kathryn Elizabeth Kirkham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kathryn.pullicino@361010828083204.direct.elationemr.com

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1699405860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277112",
            "telephone_number": "317-780-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277112",
            "telephone_number": "317-780-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLICINO",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043525A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE PSYCHOLOGY BOARD",
            "identifier": "20043525A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "KIRKHAM",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna R Pulfer, NP
• Ashish Pulikal, M.D
• Kerri Maureen Pulley, LMHC
• Daniel Pulliam Pulliam, ED.D.
• Ethan Warner Pulliam
• Pulmonary Clinical Solutions Indiana, LLC
• Pulmonary Medical Associates, P.C.
• Pulos Family Dentistry, LLC
• Emily Pulos
• Gus Pulos, DDS

• Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.