Kaim Psychology PLLC
Organization Active NPI Clinical Psychologist · Centerport, NY
NPI 1326527136 · NPPES record last updated Aug 13, 2018
Key facts
- NPI
- 1326527136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- KAIM PSYCHOLOGY PLLC
- Practice address
- 6 Daphne LN
Centerport, NY 11721-1602 - Phone
- (917) 913-6471
- Fax
- (631) 754-2909
- NPI assigned
- Aug 13, 2018
- Organization subpart
- No
Authorized official
- Name
- Monique Kaim, PHD
- Title
- Owner
- Phone
- (917) 913-6471
Practitioners 1
-
Monique Camille Kaim, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181106002909 | NY | Part B Supplier - Clinic/Group Practice | 2567716772 |
Receives reassigned benefits from 1 practitioner Practice locations: Highland, NY; New York, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
6 Daphne LN
Centerport, NY 11721-1602
Mailing address
6 Daphne LN
Centerport, NY 11721-1602
Phone (917) 913-6471
Other providers in Centerport, NY
- Insight Therapy Services Applied Behavior Analysis and Mental Healt
- Island Medicine, PLLC
- William Jackson
- Arlene Johnson
- JVJ Early Intervention Corp
- Monique Camille Kaim
- Ira Kalina
- Kate Kane
- Rose Marie Kearing
- Diana E. Keegan
All providers in Centerport, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.