Individual provider Active NPI

Kaycee Marie Beglau, PSYD

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1366740532
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017976 Issued in PA
Practice address
123 Chestnut St Ste 304
Philadelphia, PA 19106-3059
Phone
(267) 702-3678
NPI assigned
Mar 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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 PS017976 PA Primary

Addresses

Primary practice location

123 Chestnut St Ste 304
Philadelphia, PA 19106-3059

Mailing address

123 Chestnut St Ste 304
Philadelphia, PA 19106-3059
Phone (215) 399-4128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2023 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017976PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1366740532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHESTNUT ST STE 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063059",
            "telephone_number": "215-399-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CHESTNUT ST STE 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063059",
            "telephone_number": "267-702-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGLAU",
        "first_name": "KAYCEE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.