Active NPI
Audrey C Kast, PHD
- Psychologist
- Stevens Point, WI
National Provider Identifier
1811929268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1413057
- Practice address
- 3398 E Maria Dr
Stevens Point, WI 54481-1362 - Phone
- (715) 341-7441
- NPI assigned
- Jul 7, 2006
- Last updated
- May 9, 2013
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1413057 | WI | Primary |
Addresses
Primary practice location
3398 E Maria Dr
Stevens Point, WI 54481-1362
Mailing address
3398 E Maria Dr
Stevens Point, WI 54481-1362
Phone (715) 341-7441
Other names 1
- Audrey C Dsouza
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 |
|---|---|---|---|
| 1413057 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital, Inc. | Past | Accepting new patients | |
| Wausau Psychiatrists SC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Aspirus Palliative Medicine- Wisconsin
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
-
- Adult Mental Health Clinic/Center
- Wausau, WI
- NPI 1992808364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1811929268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3398 E MARIA DR",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544811362",
"telephone_number": "715-341-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3398 E MARIA DR",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544811362",
"telephone_number": "715-341-7441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAST",
"first_name": "AUDREY",
"middle_name": "C",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "1413057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "DSOUZA",
"middle_name": "C",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.