Kathy Wilson, SCHOOL PSYCHOLOGIST

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1603217 Issued in IN

Practice address

205 E Hillside Ave
Spencer, IN 47460-1421

Phone

(812) 829-2266

NPI assigned

Jan 23, 2025

Last updated

Jan 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spencer Owen Community Schools

  • Local Education Agency (LEA)
  • Spencer, IN
  • NPI 1093923039
  NPD (past)

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1881406247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E HILLSIDE AVE",
            "city": "SPENCER",
            "state": "IN",
            "postal_code": "474601421",
            "telephone_number": "812-829-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E HILLSIDE AVE",
            "city": "SPENCER",
            "state": "IN",
            "postal_code": "474601421",
            "telephone_number": "812-829-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHY",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "1603217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Louise Walden, FNP
• Michelle Marie Webster
• Barbara Diane G Wells, MD
• Lindsey Whaley
• William D Kenfield DDS LLC
• Lyndsey Wilson
• Jason Woods, LMHC
• Karina Zehr, NP

• School Psychologist in Spencer, IN
• Providers in Spencer, IN by specialty
• School Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.