Kandice Kloren Kavanagh, PSYCHIATRIC NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

406724 Issued in NY

Practice address

205 Hudson St FL 9
New York, NY 10013-1810

Phone

(914) 517-0058

NPI assigned

Feb 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kandice Kloren Mann Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medagent CorpGroup PAC ID 4789900796, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellbound II, LLC Home health agency, Brooklyn, NY, CCN 337211

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medagent Corp

  • Clinic/Center
  • Cortlandt Manor, NY
  • NPI 1245301928
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wellbound II LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1689308728
  Care Compare affiliation

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1013249994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131810",
            "telephone_number": "914-517-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "KANDICE",
        "middle_name": "KLOREN",
        "name_prefix": "Mrs.",
        "credential": "PSYCHIATRIC NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANDICE",
            "last_name": "MANN",
            "middle_name": "KLOREN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Rose Kavanagh, M.D.
• Eileen Patricia Kavanagh, MD, MPA
• Gina Marie Kavanagh, AGACNP
• Graham George Kavanagh, PH.D.
• Justena Shea Kavanagh, LCSW-R
• Rebecca Kendra Kavanagh, PHARMD, BCACP
• Susan H Kavanagh, M.S. CCC/A
• Taylor R Kavanagh, MD
• Margaret Geraldine Kavanau, PHD
• Alanna Elizabeth Kavanaugh, NP

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.