Kara Matile Hendry, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6690 Issued in FL

Practice address

5348 1St Ave N
Suite D
St Petersburg, FL 33710-8106

Phone

(727) 322-6123

Fax

(727) 322-6143

NPI assigned

Sep 26, 2006

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 identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Emergent Care Psychologists PA

  • Clinical Psychologist
  • Pinellas Park, FL
  • NPI 1770649238
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1306947809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 47918",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33743",
            "telephone_number": "727-322-6123",
            "fax_number": "727-322-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 1ST AVE N",
            "address_2": "SUITE D",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108106",
            "telephone_number": "727-322-6123",
            "fax_number": "727-322-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRY",
        "first_name": "KARA",
        "middle_name": "MATILE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "54889",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "55011000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAIN AND SPINAL CORD INJ",
            "identifier": "687018079",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRADMAN NETWORK",
            "identifier": "FL2056",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3402278",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2179838",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6870180701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeisha T Henderson, B.S.W
• Savannah Lee Henderson
• Debra A Hendren, FNP
• Laura Hendrickson, RN IBCLC
• Stephanie Michelle Hendrix, LDO
• Hannah Henige
• Sarah Henley, LMT
• Jordan Hennemyre
• Rachel Alethea Hennessy, MSW, ITDS
• Mona A Henri, O.D.

• Clinical Psychologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.