Kurt A Moehle, PH.D., H.S.P.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040055A Issued in IN

Practice address

9002 N Meridian St
Ste 200
Indianapolis, IN 46260-5350

Phone

(317) 450-1942

NPI assigned

Feb 12, 2007

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Services Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
  • NPI 1144722695
  NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1720129505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 W 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605232",
            "telephone_number": "317-450-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST",
            "address_2": "STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605350",
            "telephone_number": "317-450-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEHLE",
        "first_name": "KURT",
        "middle_name": "A",
        "credential": "PH.D., H.S.P.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040055A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100068940A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "260032589",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drashty Paresh Mody
• Harold Calvin Moe, L.M.F.T.
• Paul Ryan Moe, M.D.
• Sharon M Moe, M.D.
• Moeez LLC
• Haylie Catherine Moehlenkamp, PA-C
• Ashley Arnoldi Moeller, MD
• Esther Moeller
• Matthew Charles Moeller, D.D.S.
• Matthew David Moeller

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.