Active NPI
Ronni Michele Kahn, PH D
- Cognitive & Behavioral Psychologist
- Olivette, MO
National Provider Identifier
1740343581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 2006010347
- Practice address
- 10199 Woodfield LN
Olivette, MO 63132-2922 - Phone
- (314) 298-0023
- Fax
- (314) 997-1111
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 2006010347 | MO | Primary |
Addresses
Primary practice location
10199 Woodfield LN
Olivette, MO 63132-2922
Mailing address
1129 Macklind Ave
Saint Louis, MO 63110-1440
Phone (314) 534-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006010347 | MO | MD | Cognitive & Behavioral Psychologist |
| 430 | NE | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul H Wang M Div PH D & Associates P C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Saint Louis, MO
- NPI 1952684995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1740343581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 MACKLIND AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101440",
"telephone_number": "314-534-0200",
"fax_number": "314-534-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10199 WOODFIELD LN",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "631322922",
"telephone_number": "314-298-0023",
"fax_number": "314-997-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "RONNI",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "PH D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MO",
"license": "2006010347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olivette, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.