Active NPI
Renata T. Seemann-Kocon, M.D.
- Psychiatry Physician
- Logansport, IN
National Provider Identifier
1962431056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01056958A
- Practice address
- 1098 S State Road 25
Logansport, IN 46947-6723 - Phone
- (574) 722-4141
- Fax
- (574) 735-3414
- NPI assigned
- Jul 1, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01056958A | IN | Primary |
Addresses
Primary practice location
1098 S State Road 25
Logansport, IN 46947-6723
Mailing address
1098 S State Road 25
Logansport, IN 46947-6723
Phone (574) 722-4141
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056958A | IN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962431056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 S STATE ROAD 25",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469476723",
"telephone_number": "574-722-4141",
"fax_number": "574-735-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 S STATE ROAD 25",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469476723",
"telephone_number": "574-722-4141",
"fax_number": "574-735-3414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEMANN-KOCON",
"first_name": "RENATA",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01056958A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.