DR. KATHLEEN MARY VOGLER, PH.D. - NPI NUMBER 1104934900

Summary

Provider Name: DR. KATHLEEN MARY VOGLER, PH.D.

NPI Number: 1104934900

Clasification: Psychologist (103TC0700X)

Specialization: Clinical

Organization: KMV PSYCHOLOGICAL SERVICES PC

Address:
9247 N MERIDIAN ST
SUITE 104
INDIANAPOLIS, IN
ZIP 46260

Phone Number: (317) 815-6030



Detailed Information

DR. Kathleen Mary Vogler, PH.D. is a clinical psychologist in Indianapolis, IN with 16 years of experience. The assigned NPI number for this provider is 1104934900 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

9247 N MERIDIAN ST
SUITE 104
INDIANAPOLIS, IN
ZIP 46260-879
Phone: (317) 815-6030
Fax: (317) 815-6031

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103TC0700X Psychologist Clinical 20041410A IN Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 000000361991 OTHER IN ANTHEM
2 0001133252 OTHER MHN
3 187004463559 OTHER CORPHEALTH
4 7393696 OTHER AETNA
5 229040 MEDICARE ID-TYPE UNSPECIFIED

NPI Record

No. Field Name Field Value
1 NPI 1104934900
2 Entity Type Code 1
3 Provider Last Name Legal Name VOGLER
4 Provider First Name KATHLEEN
5 Provider Middle Name MARY
6 Provider Name Prefix Text DR.
7 Provider Credential Text PH.D.
8 Provider Other Last Name HOURIGAN
9 Provider Other First Name KATHLEEN
10 Provider Other Middle Name MARY
11 Provider Other Last Name Type Code 1
12 Provider First Line Business Practice Location Address 9247 N MERIDIAN ST
13 Provider Second Line Business Practice Location Address SUITE 104
14 Provider Business Practice Location Address City Name INDIANAPOLIS
15 Provider Business Practice Location Address State Name IN
16 Provider Business Practice Location Address Postal Code 462601879
17 Provider Business Practice Location Address Country Code If outside U S US
18 Provider Business Practice Location Address Telephone Number 3178156030
19 Provider Business Practice Location Address Fax Number 3178156031
20 Provider Enumeration Date 8/29/2006
21 Last Update Date 7/8/2007
22 Provider Gender Code F
23 Healthcare Provider Taxonomy Code 1 103TC0700X
24 Provider License Number 1 20041410A
25 Provider License Number State Code 1 IN
26 Healthcare Provider Primary Taxonomy Switch 1 Y
27 Other Provider Identifier 1 000000361991
28 Other Provider Identifier Type Code 1 01
29 Other Provider Identifier State 1 IN
30 Other Provider Identifier Issuer 1 ANTHEM
31 Other Provider Identifier 2 0001133252
32 Other Provider Identifier Type Code 2 01
33 Other Provider Identifier Issuer 2 MHN
34 Other Provider Identifier 3 187004463559
35 Other Provider Identifier Type Code 3 01
36 Other Provider Identifier Issuer 3 CORPHEALTH
37 Other Provider Identifier 4 7393696
38 Other Provider Identifier Type Code 4 01
39 Other Provider Identifier Issuer 4 AETNA
40 Other Provider Identifier 5 229040
41 Other Provider Identifier Type Code 5 04
42 Is Sole Proprietor N

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.