Active NPI
Barry L. Kayes, EDD
- Psychologist
- Phila, PA
National Provider Identifier
1306919170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS001864
- Practice address
- 8040 Roosevelt Boulevard
Suite 217
Phila, PA 19152-2902 - Phone
- (215) 268-0002
- Fax
- (866) 447-8680
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS001864 | PA | Primary |
Addresses
Primary practice location
8040 Roosevelt Boulevard
Suite 217
Phila, PA 19152-2902
Mailing address
8040 Roosevelt Boulevard
Suite 217
Phila, PA 19152-2902
Phone (215) 268-0002
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072594 | Other | PA | FED EMPLOYEE PROGRAM BCBS |
| 0062922000 | Other | PA | PERSONAL CHOICE |
| 001664389 | Other | PA | KHPE |
| 5357116 | Other | PA | AETNA |
| 298412000 | Other | PA | MAGELLAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS001864 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1306919170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8040 ROOSEVELT BOULEVARD",
"address_2": "SUITE 217",
"city": "PHILA",
"state": "PA",
"postal_code": "191522902",
"telephone_number": "215-268-0002",
"fax_number": "866-447-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 ROOSEVELT BOULEVARD",
"address_2": "SUITE 217",
"city": "PHILA",
"state": "PA",
"postal_code": "191522902",
"telephone_number": "215-268-0002",
"fax_number": "866-447-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYES",
"first_name": "BARRY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS001864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED EMPLOYEE PROGRAM BCBS",
"identifier": "072594",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0062922000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHPE",
"identifier": "001664389",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5357116",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "298412000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.