NPIMap

Organization Active NPI

Beaumont Psychological Services PC

  • Clinical Psychologist
  • Beaumont, TX
National Provider Identifier
1003833195
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BEAUMONT PSYCHOLOGICAL SERVICES PC
Practice address
3560 Delaware St
Suite107
Beaumont, TX 77706-3059
Phone
(409) 899-3244
Fax
(409) 898-3153
NPI assigned
Jul 16, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carmen Rita Kaimann, MDNPI 1477522258
Title
President
Phone
(409) 899-3244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

3560 Delaware St
Suite107
Beaumont, TX 77706-3059

Mailing address

3560 Delaware St
Suite107
Beaumont, TX 77706-3059
Phone (409) 899-3244

Other identifiers 1

IdentifierTypeStateIssuer
0022GDOtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3560 Delaware St
Ste 107
Beaumont, TX 77706
Phone (409) 899-3244

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1003833195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE107",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063059",
            "telephone_number": "409-899-3244",
            "fax_number": "409-898-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE107",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063059",
            "telephone_number": "409-899-3244",
            "fax_number": "409-898-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "KAIMANN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-899-3244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0022GD",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.