NPIMap

Organization Active NPI

Northern Colorado Psychological Services LLC

Doing business as Ken Kirchner PhD

  • Psychologist
  • Holualoa, HI
National Provider Identifier
1942495049
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
710 Issued in HI
Legal business name
NORTHERN COLORADO PSYCHOLOGICAL SERVICES LLC
Doing business as
Ken Kirchner PhD
Practice address
77-137 Kalaniuka St.
Holualoa, HI 96725-9729
Phone
(808) 322-2600
Fax
(808) 322-2071
NPI assigned
Sep 11, 2007
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Kenneth Ray Kirchner, PHDNPI 1659432862
Title
Owner President
Phone
(808) 322-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 710 HI Primary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 474 CO

Addresses

Primary practice location

77-137 Kalaniuka St.
Holualoa, HI 96725-9729

Mailing address

77-137 Kalaniuka St.
Holualoa, HI 96725-9729
Phone (808) 322-2600

Other names 1

  • Ken Kirchner PhD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1942495049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-137 KALANIUKA ST.",
            "city": "HOLUALOA",
            "state": "HI",
            "postal_code": "967259729",
            "telephone_number": "808-322-2600",
            "fax_number": "808-322-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77-137 KALANIUKA ST.",
            "city": "HOLUALOA",
            "state": "HI",
            "postal_code": "967259729",
            "telephone_number": "808-322-2600",
            "fax_number": "808-322-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COLORADO PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "KIRCHNER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "808-322-2600",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "710",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ken Kirchner PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holualoa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.