Mary M Kadlec, PSYD HSPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20040944A Issued in IN

Practice address

4214 Hobson CT
Fort Wayne, IN 46815-8648

Phone

(260) 486-5251

Fax

(260) 486-5058

NPI assigned

Sep 14, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kadlec Consulting Services, LLC

  • Clinical Psychologist
  • Fort Wayne, IN
  • NPI 1164052791
  NPD (past) Authorized official
• Consulting & Counseling Associates, LLC

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1962432971

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700871977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 HOBSON CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158648",
            "telephone_number": "260-486-5251",
            "fax_number": "260-486-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 HOBSON CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158648",
            "telephone_number": "260-486-5251",
            "fax_number": "260-486-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADLEC",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "PSYD HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040944A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20027420A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000296403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "256981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "36768",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0007607161",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rudy A. Kachmann, M.D.
• Juliette R Kacines, MA
• Ashok Kadambi, MD
• Michele L Kadenko-Monirian, APRN-CNS AGCNS-BC
• Kadlec Consulting Services, LLC
• Priscilla Kadolph
• Vivian Marie Kadus, PHARMD
• Diane Kaehr, MS, LMFTA, LMHCA
• Sumnima Kafle
• Stacy Jean Kahl

• Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.