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Dr. David R. Kenis

Psychologist Family Psychologist Clinical Psychologist Forensic Psychologist and 3 more

601 Wall St
Valparaiso , Indiana 46383-2512

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Psychologist
  • Cognitive & Behavioral Psychologist
  • Clinical Psychologist
  • Clinical Child & Adolescent Psychologist
  • Family Psychologist
  • Forensic Psychologist
  • Group Psychotherapist

Languages spoken

  • English

Location

601 Wall St Valparaiso , Indiana 46383-2512

First Address

  • Dr. David R. Kenis
  • 354 Worchester Dr Apt. 8-B
  • Valparaiso, IN
  • Zip : 46383-1333
  • Fax : (219) 462-3975
  • Phone : (219) 531-3500

Second Address

  • Dr. David R. Kenis
  • 601 Wall St
  • Valparaiso, IN
  • Zip : 46383-2512
  • Fax : (219) 462-3975
  • Phone : (219) 531-3500

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FAQs


Where did Dr. David R. Kenis attend graduate school?

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Where did Dr. David R. Kenis do his residency?

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Where did Dr. David R. Kenis do his fellowship?

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Is Dr. David R. Kenis board certified?

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In what state does Dr. David R. Kenis practice in?

Indiana

Where is Dr. David R. Kenis ’s practice located?

601 Wall St , Valparaiso, Indiana, 46383-2512

What is Dr. David R. Kenis ’s gender?

Male

Is Dr. David R. Kenis a sole practitioner?

No

Is Dr. David R. Kenis accepting new patients?

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What languages does Dr. David R. Kenis speak?

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Does Dr. David R. Kenis accept insurance?

Yes, Dr. David R. Kenis accepts insurance

Does Dr. David R. Kenis offers telemedicine?

Dr. David R. Kenis has not indicated if he offers telemedicine

What is Dr. David R. Kenis ’s professional license number?

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What is Dr. David R. Kenis ’s NPI number?

1023007853

Does Dr. David R. Kenis have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 102L00000X Psychologist 20040382 IN
N 103T00000X Psychologist 20040382 IN
N 103TB0200X Cognitive & Behavioral Psychologist
N 103G00000X Clinical Psychologist 20040382 IN
N 103TC0700X Clinical Psychologist 20040382 IN
N 103TC2200X Clinical Child & Adolescent Psychologist
N 103TF0000X Family Psychologist
N 103TF0200X Forensic Psychologist
N 103TP2701X Group Psychotherapist

National Provider Identifier

NPI 1023007853
Provider Name Dr. David R. Kenis
First Address Valparaiso, IN 46383-1333
Second Address Valparaiso, IN 46383-2512
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/10/2005
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
R83150 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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