DR. DAVID R. KENIS (NPI# 1023007853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023007853 |
| Entity Type | Individual |
| Full Name | DR. DAVID R. KENIS |
| Credential | PH. D. |
| Practice Address |
601 Wall St Valparaiso IN 46383-2512 |
| Mailing Address |
354 Worchester Dr Apt. 8-b Valparaiso IN 46383-1333 |
| Practice Telephone | 2195313500 |
| Practice Fax Number | 2194623975 |
| Mailing Telephone | 2195313500 |
| Mailing Fax Number | 2194623975 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 20040382 | IN | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| X | 103TC0700X |
Psychologist Specialization: Clinical |
20040382 | IN | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| X | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| X | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
601 WALL ST |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677542 | Erin Stewart | Social Worker | 601 Wall St, Valparaiso, IN 46383-2512 | 2005-08-26 |
| 1619587607 | Kristy Steiner | Counselor | 601 Wall St, Valparaiso, IN 46383-2512 | 2020-08-04 |
| 1639731409 | Alaina Ciarrocchi | Counselor | 601 Wall St, Valparaiso, IN 46383-2512 | 2019-07-02 |
| 1770048480 | Lindsay Marie Beougher | Social Worker | 601 Wall St, Valparaiso, IN 46383-2512 | 2019-02-06 |
| 1184104853 | Andrea Lynn Farmer | Nurse Practitioner | 601 Wall St, Valparaiso, IN 46383-2512 | 2018-08-21 |
| 1558856922 | Alejandra Camacho Soria | Counselor | 601 Wall St, Valparaiso, IN 46383-2512 | 2018-06-27 |
| 1548754245 | Dawn Hickman | Counselor | 601 Wall St, Valparaiso, IN 46383-2512 | 2018-06-18 |
| 1740772847 | Whitney Stanfill | Counselor | 601 Wall St, Valparaiso, IN 46383-2512 | 2018-06-04 |
| 1427545912 | Tanye' S. Tyler | Social Worker | 601 Wall St, Valparaiso, IN 46383-2512 | 2018-04-19 |
| 1386156263 | Leigh Regine Westergren | Social Worker | 601 Wall St, Valparaiso, IN 46383-2512 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871047001 | Katherine Lomberger | Psychologist | 2611 Chicago St, Valparaiso, IN 46383-6111 | 2016-08-04 |
| 1457758914 | Rachel Niemi | Psychologist | 2001 Calumet Ave, Valparaiso, IN 46383-2781 | 2014-11-28 |
| 1821119876 | Tiffany Dawn Simpson | Psychologist | 8 N Morgan, Valparaiso, IN 46383-4836 | 2007-04-03 |
| 1104837996 | Stewart E. Cooper | Psychologist | 826 Laporte Ave, Valparaiso, IN 46383-4534 | 2006-08-10 |
| 1720189426 | Victor Paul Rini | Psychologist | 8 N Morgan Blvd, Valparaiso, IN 46383 | 2006-09-26 |
| 1194733949 | Lawrence Allen Viers | Psychologist | 8 N Morgan Blvd, Valparaiso, IN 46383 | 2006-08-04 |
| 1568405512 | Giselle L. Thomalla | Psychologist | 4004 Campbell St, Valparaiso, IN 46385-1773 | 2006-06-14 |
| 1417918368 | Barry M Shear | Psychologist | 2004 Valparaiso St, Valparaiso, IN 46383 | 2006-03-30 |
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| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1881222016 | Ericka Swanson Psyd Inc. | Psychologist | 9305 Calumet Ave Ste A2, Munster, IN 46321-2888 | 2020-04-01 |
| 1184251316 | Pei-yi Lin | Psychologist | 9504 Rachel Dr, Yorktown, IN 47396-9826 | 2020-03-26 |
| 1679109383 | Christina Chico | Psychologist | 1 Park Row St, Michigan City, IN 46360-6597 | 2020-03-14 |
| 1457998007 | Ne Psychological LLC | Psychologist | 6343 Constitution Dr, Fort Wayne, IN 46804-1547 | 2019-12-03 |
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1295205615 | Monumental Behavioral Health Inc | Psychologist | 1201 N Post Rd Ste C, Indianapolis, IN 46219-4246 | 2018-11-28 |
| 1528536083 | Rebecca Martinez Reid | Psychologist | 2201 E Woodstock Pl, Bloomington, IN 47401-6180 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on DR. DAVID R. KENIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.