Individual provider Active NPI

Nycole Kauk, PHD

  • Psychologist
  • Dade City, FL
National Provider Identifier
1336003383
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY12910 Issued in FL
Practice address
34715 Orange Belt Dr
Dade City, FL 33523-6484
Phone
(727) 331-2388
NPI assigned
Dec 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB473975 FL
Behavior Analyst 103K00000X LBA2444 MD
Psychologist 103T00000X PY12910 FL Primary

Addresses

Primary practice location

34715 Orange Belt Dr
Dade City, FL 33523-6484

Mailing address

30929 Mirada Blvd # 940
San Antonio, FL 33576-7306
Phone (727) 331-2388

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
BACB473975FLMDBehavioral Analyst
LBA2444MDMDBehavioral Analyst
PY12910FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1336003383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30929 MIRADA BLVD # 940",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335767306",
            "telephone_number": "727-331-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34715 ORANGE BELT DR",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335236484",
            "telephone_number": "727-331-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUK",
        "first_name": "NYCOLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BACB473975",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA2444",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY12910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.