Individual provider Active NPI

Kineret Kandelker

  • Psychologist
  • Providence, RI
National Provider Identifier
1023367539
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS01647 Issued in RI
Practice address
551 S Water St Unit 555
Providence, RI 02903-4344
Phone
(973) 380-7997
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS01647 RI Primary

Addresses

Primary practice location

551 S Water St Unit 555
Providence, RI 02903-4344

Mailing address

551 S Water St
Providence, RI 02903-4344
Phone (973) 380-7994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS01647RIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
KP Therapy, LLC Current Accepting new patients

Locations

551 S Water St
Unit 555
Providence, RI 02903

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1023367539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 S WATER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034344",
            "telephone_number": "973-380-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 S WATER ST UNIT 555",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034344",
            "telephone_number": "973-380-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDELKER",
        "first_name": "KINERET",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS01647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.