Kristine Louise Discala, PH.D, HSPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20042426A Issued in IN

Practice address

12948 Coldwater Rd Ste 101
Fort Wayne, IN 46845-8016

Phone

(260) 373-0880

Fax

(260) 373-0881

NPI assigned

Feb 12, 2009

Last updated

Sep 2, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Southern Illinois University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aberdeen Group LLCGroup PAC ID 5597922757, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Aberdeen Group LLC

  • Psychologist
  • Fort Wayne, IN
  • NPI 1124302237
  Medicare reassignment Care Compare group NPD
• Aberdeen Group LLC

  • Psychologist
  • Fort Wayne, IN
  • NPI 1730897794
  NPD

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1881833986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12948 COLDWATER RD STE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458016",
            "telephone_number": "260-373-0880",
            "fax_number": "260-373-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12948 COLDWATER RD STE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458016",
            "telephone_number": "260-373-0880",
            "fax_number": "260-373-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISCALA",
        "first_name": "KRISTINE",
        "middle_name": "LOUISE",
        "credential": "PH.D, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002051A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042426A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Directclinic SBC, LLC (DirectClinic)
• Cynthia Dirig, RN-BSN
• Levi Edward Lynn Dirig
• Melanie Dirig
• Brett Michael Disalle, DDS
• Shane Michael Disheaux, COTA
• Michael J Disher, MD
• Vicki Dishon, MHS, PA-C
• Dasmyn L. Dismuke, PA
• Samuel Vincent Dismuke, PA-C

• Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.