NPIMap

Organization Active NPI

Kindervater & Carroll, LLC

  • Psychiatry Physician
  • Perrysburg, OH
National Provider Identifier
1801959945
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KINDERVATER & CARROLL, LLC
Practice address
702 Commerce Dr Ste 150
Perrysburg, OH 43551-5252
Phone
(419) 874-0274
Fax
(419) 874-9960
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Dr. Karen A. Kindervater, MD
Title
Owner
Phone
(419) 874-0274

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X OH
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X OH
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X OH
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X OH
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X OH Primary

Addresses

Primary practice location

702 Commerce Dr Ste 150
Perrysburg, OH 43551-5252

Mailing address

702 Commerce Dr Ste 150
Perrysburg, OH 43551-5252
Phone (419) 874-0274

National Provider Directory

National Provider Directory

Locations

702 Commerce Dr
Ste 150
Perrysburg, OH 43551
Phone (419) 874-0274

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1801959945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 COMMERCE DR STE 150",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515252",
            "telephone_number": "419-874-0274",
            "fax_number": "419-874-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 COMMERCE DR STE 150",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515252",
            "telephone_number": "419-874-0274",
            "fax_number": "419-874-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDERVATER & CARROLL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "KINDERVATER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-874-0274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.