Kidpsych, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204584A Issued in IN

Legal business name

KIDPSYCH, INC

Practice address

21444 Anthony Rd
Noblesville, IN 46062-8277

Phone

(540) 446-9805

Fax

(317) 758-5850

NPI assigned

Nov 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sara E Davis, PH, D HSPP

Title

Owner

Phone

(540) 446-9805

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Lovett

  • Mental Health Counselor
  • Westfield, IN
  • NPI 1790146389
  NPD (past)
• Kristi Rowe, LMHC

  • Mental Health Counselor
  • Westfield, IN
  • NPI 1417588559
  NPD (past)

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1700113552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21444 ANTHONY RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628277",
            "telephone_number": "540-446-9805",
            "fax_number": "317-758-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21444 ANTHONY RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628277",
            "telephone_number": "540-446-9805",
            "fax_number": "317-758-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDPSYCH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-446-9805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH, D HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "VA0810003385",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "2204584A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole K. Keserich, NP
• Brian C Keys, D.O.
• Mushkbar Jalil Khan, M.D.
• Kharis Recovery Center LLC
• Naomi Pi-Ju Kiang-Liu, RPH
• Barbara Elisabeth Kiefer, LSW
• Colleen Catherine Kilberg, RD,CD
• Briana Marie King, NP-C
• Trevor Grey Kinnison, PHARMD
• William Kinsey

• Speech-Language Pathologist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.