TOTAL SPECTRUM AUTISM SERVICES LLC NPI 1932643590

NPI Information

  • NPI: 1932643590
  • Provider Name: TOTAL SPECTRUM AUTISM SERVICES LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 515 MAPLEWOOD BLVD
    GEORGETOWN, IN
    ZIP 47122
  • Phone: (502) 767-9405

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NPI Details

TOTAL SPECTRUM AUTISM SERVICES LLC is a clinical psychologist in Georgetown, IN. The provider is 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. TOTAL SPECTRUM AUTISM SERVICES LLC NPI is 1932643590. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

515 MAPLEWOOD BLVD
GEORGETOWN, IN
ZIP 47122-261
Phone: (502) 767-9405
Fax: (812) 727-5522

The provider's authorized official is Katerrell Leon Kennedy .
The authorized official title is Ceo and has the following contact phone number (502) 767-9405.

The enumeration date for this NPI number is 12/15/2016 and was last updated on 12/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1101YM0800XCounselorMental Health39002390AINDIANANo
2103TC0700XPsychologistClinical129006KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11790917060OTHERINDIANACOMMERCIAL
21235558628OTHERINDIANACOMMERCIAL
31013002443OTHERKENTUCKYCOMMERCIAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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