Kads Mental Health Nursing Services, Apc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KADS MENTAL HEALTH NURSING SERVICES, APC

Practice address

2628 Victor Ave Ste C
Redding, CA 96002-1454

Phone

(623) 294-4168

Fax

(602) 563-8221

NPI assigned

Jun 10, 2025

Organization subpart

No

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

Authorized official

Name

Dianne Fontaine, NURSE PRACTITIONERNPI 1194416230

Title

Ceo

Phone

(516) 754-2556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dianne Fontaine

  • Psychiatric/Mental Health Nurse Practitioner
  • Redding, CA
  • NPI 1194416230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1285529255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "623-294-4168",
            "fax_number": "602-563-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "623-294-4168",
            "fax_number": "602-563-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADS MENTAL HEALTH NURSING SERVICES, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-754-2556",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Redding, CA
• Providers in Redding, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.