KATHLEEN MARIE KINGERY PHD
NPI 1629593629
Psychologist - Cognitive & Behavioral in Indianapolis, IN

Q: What is Kathleen Kingery's NPI number?

The NPI number for Kathleen Kingery is 1629593629. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Q: What is Kathleen Kingery's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Kingery was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 10, 2017PECOS Enrolled

355 W 16TH ST STE 2800, INDIANAPOLIS, IN 46202(317) 963-7308(317) 963-7325 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 12, 2022, Dec 3, 2020 and 1 more (4 updates tracked since 2017).

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About Kathleen Marie Kingery Phd NPPES

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

KATHLEEN MARIE KINGERY PHD (NPI 1629593629) is an individual cognitive & behavioral provider in Indianapolis, Indiana, licensed in Indiana (20043198A) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629593629

Entity TypeIndividualFemale

Primary Taxonomy103TB0200X

Provider Legal NameKATHLEEN MARIE KINGERYCredential: PHD

Location Address355 W 16TH ST STE 2800Indianapolis, IN 46202-2279

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 963-7308

Fax(317) 963-7325

Sole ProprietorNo

Enumeration DateAugust 10, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1629593629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in IN · 20043198A

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

355 W 16TH ST STE 2800, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Marie Kingery Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL LYN GUNN

Psychologist (Clinical)