KOKOMO ACADEMY
NPI 1043496060
Psychologist - Clinical in Kokomo, IN

Q: What is Kokomo Academy's NPI number?

The NPI number for Kokomo Academy is 1043496060. It was assigned to this organization in the NPPES registry on January 22, 2008.

Q: What is Kokomo Academy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kokomo Academy was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2008

623 S BERKLEY RD, KOKOMO, IN 46901(765) 452-9989 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kokomo Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOKOMO ACADEMY (NPI 1043496060) is a healthcare organization registered as a clinical in Kokomo, Indiana and active in the NPI registry since January 2008. The organization lists Roger Snyder, Vice President, as its authorized official.

NPPES Registry Identity

NPI1043496060

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKOKOMO ACADEMY

Location Address623 S BERKLEY RDKokomo, IN 46901-5150

Mailing Address900 Keystone Crossing, Ste 1040Indianapolis, IN 46240 · (317) 694-4074

Phone(765) 452-9989

Organization SubpartYesParent: Correctional Management Company

Authorized OfficialRoger SnyderVice President · (317) 274-1359

Enumeration DateJanuary 22, 2008

✔ NPI 1043496060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

623 S BERKLEY RD, Kokomo, IN 46901

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kokomo Academy's NPI number?

The NPI number for Kokomo Academy is 1043496060. It was assigned to this organization in the NPPES registry on January 22, 2008.

Where is Kokomo Academy located?

Kokomo Academy is located at 623 S Berkley Rd, Kokomo, IN 46901. The listed phone number is (765) 452-9989.

What is Kokomo Academy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kokomo Academy was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.