Active NPI
Kari Lee Kennedy, PSY.D., H.S.P.P.
- Clinical Psychologist
- Greenwood, IN
National Provider Identifier
1962501692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20041821A
- Practice address
- 420 E Main St
Greenwood, IN 46143-1364 - Phone
- (317) 807-0456
- Fax
- (866) 788-3791
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20041821A | IN | Primary |
Addresses
Primary practice location
420 E Main St
Greenwood, IN 46143-1364
Mailing address
420 E Main St
Greenwood, IN 46143-1364
Phone (317) 807-0456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000327281 | Other | IN | ANTHEM INSURANCE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20041821A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962501692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E MAIN ST",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431364",
"telephone_number": "317-807-0456",
"fax_number": "866-788-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E MAIN ST",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431364",
"telephone_number": "317-807-0456",
"fax_number": "866-788-3791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "KARI",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY.D., H.S.P.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20041821A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INSURANCE",
"identifier": "000000327281",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, 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.