Kokomo Academy is a Clinical in Kokomo, Indiana. Kokomo Academy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kokomo Academy is 1043496060. The last update date is 2008-01-22.
Kokomo Academy's current location address is 623 S Berkley Rd, Kokomo, Indiana. You can contact this provider via phone number 7654529989. The mailing address for Kokomo Academy is 623 S Berkley Rd, Kokomo, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kokomo Academy |
|---|---|
| Address | 623 S Berkley Rd, Kokomo, Indiana |
| Phone Number | 7654529989 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Snyder Roger |
| Credentials | CFO |
| Telephone Number | 3172741359 |
NPI Number Detail
| NPI Number | 1043496060 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2008-01-22 |
Provider Mailing Address Detail
| Address | 623 S Berkley Rd |
|---|---|
| City | Kokomo |
| State | Indiana (IN) |
| Post Code | 469015150 |
| Phone Number | 7654529989 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 |
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What is the unique 10-digit identification code assigned to Kokomo Academy by the Centers for Medicare & Medicaid Services?
The Kokomo Academy has been issued the NPI (National Provider Identifier) 1043496060, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kokomo Academy is located?
The Kokomo Academy is situated at the following address: 623 S Berkley Rd, Kokomo, IN, 469015150.
What is Kokomo Academy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kokomo Academy is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Kokomo Academy receive its 1043496060 assignment from the Centers for Medicare & Medicaid Services?
The Kokomo Academy was assigned its 1043496060 on 2008-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kokomo Academy most recently updated or revised?
The information pertaining to Kokomo Academy, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-22.
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