Kledzik Psychiatric LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

01065931A Issued in IN

Legal business name

KLEDZIK PSYCHIATRIC LLC

Practice address

9245 N Meridian St
225
Indianapolis, IN 46260-1836

Phone

(317) 818-9000

Fax

(317) 818-9009

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ann Kledzik, M.D.

Title

Owner of LLC

Phone

(317) 818-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1700337920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 N MERIDIAN ST",
            "address_2": "225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601836",
            "telephone_number": "317-818-9000",
            "fax_number": "317-818-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 N MERIDIAN ST",
            "address_2": "225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601836",
            "telephone_number": "317-818-9000",
            "fax_number": "317-818-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEDZIK PSYCHIATRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "KLEDZIK",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER OF LLC",
        "authorized_official_telephone_number": "317-818-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01065931A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Kleber, RD
• Samuel Elisha Kleber, PT, DPT
• Samuel Robert Kleber, RD
• Kathleen Kleckner
• William Clayton Kleckner, MD
• Ann M Kledzik, M.D.
• Kimberly Klee, MSW
• Mary Elizabeth Klee
• Victoria H Klee, CGC
• Kleeman P.C.

• Child & Adolescent Psychiatry Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Child & Adolescent Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.