Individual provider Active NPI

Iris L Kiner, PH.D.

  • Clinical Psychologist
  • West Palm Beach, FL
National Provider Identifier
1336480342
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8719 Issued in FL
Practice address
5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039
Phone
(561) 684-1991
Fax
(561) 684-8582
NPI assigned
Mar 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8719 FL Primary

Addresses

Primary practice location

5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039

Mailing address

5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039
Phone (561) 684-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130619000033 FL Practitioner - Clinical Psychologist 3678712825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039
Phone (561) 684-1991

9085 Hagen Ranch Rd
Boynton Beach, FL 33472-7399
Phone (561) 684-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY8719FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ferd and Gladys Alpert Jewish Family & Childrens SVC of PLM BCH CurrentSince May 5, 2013 Accepting new patients
Alpert Jewish Family & Children Services, Inc Past Accepting new patients

Locations

9085 Hagen Ranch Rd
Boynton Beach, FL 33472
Phone (561) 684-1991

9810 Alt A1A
Ste 402
Palm Beach Gardens, FL 33410
Phone (561) 684-1991

5841 Corporate Way
Ste 200
West Palm Beach, FL 33407
Phone (561) 684-1991

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1336480342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 CORPORATE WAY",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072039",
            "telephone_number": "561-684-1991",
            "fax_number": "561-684-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 CORPORATE WAY",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072039",
            "telephone_number": "561-684-1991",
            "fax_number": "561-684-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINER",
        "first_name": "IRIS",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.