Individual provider Active NPI

Kathryn E Kanzler, PSY.D., ABPP

  • Health Psychologist
  • Andrews Air Force Base, MD
National Provider Identifier
1760693717
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
1755 Issued in KS
Practice address
1050 W Perimeter Rd
779 Mdos/Sgow
Andrews Air Force Base, MD 20762-6601
Phone
(240) 857-1610
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X 1755 KS Primary

Addresses

Primary practice location

1050 W Perimeter Rd
779 Mdos/Sgow
Andrews Air Force Base, MD 20762-6601

Mailing address

1050 W Perimeter Rd
779 Mdos/Sgow
Andrews Air Force Base, MD 20762-6601
Phone (240) 857-1610

Other names 1

  • Kathryn Kanzler Appolonio Former name

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

State licenses

LicenseStateTypeSpecialty
37035TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1760693717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W PERIMETER RD",
            "address_2": "779 MDOS/SGOW",
            "city": "ANDREWS AIR FORCE BASE",
            "state": "MD",
            "postal_code": "207626601",
            "telephone_number": "240-857-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W PERIMETER RD",
            "address_2": "779 MDOS/SGOW",
            "city": "ANDREWS AIR FORCE BASE",
            "state": "MD",
            "postal_code": "207626601",
            "telephone_number": "240-857-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANZLER",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "PSY.D., ABPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "KS",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "APPOLONIO",
            "middle_name": "KANZLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andrews Air Force Base, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.