Individual provider Active NPI

Arline Maiella Kenneth, MD

  • Psychiatry Physician
  • Miami Beach, FL
National Provider Identifier
1386835163
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME105268 Issued in FL
Practice address
1761 Bay Dr
Miami Beach, FL 33141-4719
Phone
(786) 210-1753
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME105268 FL
Psychiatry Physician 2084P0800X ME105268 FL Primary

Addresses

Primary practice location

1761 Bay Dr
Miami Beach, FL 33141-4719

Mailing address

1761 Bay Dr
Miami Beach, FL 33141-4719
Phone (786) 210-1753

Other identifiers 1

IdentifierTypeStateIssuer
003743000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110824000824 FL Practitioner - Psychiatry 0547430894 Reassigns benefits to 2 organizations
I20191122002204 CA Practitioner - Psychiatry 0547430894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians
Baycare Behavioral Health Associates, LLCGroup PAC ID 2567624836, 97 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Suite 202
Salinas, CA 93906-3127
Phone (831) 769-1700

359 Gabilan Dr
Soledad, CA 93960-3550
Phone (831) 769-8740

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355

Hospital & facility affiliations

  • Natividad Medical Center Hospital, Salinas, CA, CCN 050248

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105268FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte CurrentSince Aug 31, 2019 Accepting new patients
County of Butte CurrentSince Aug 31, 2019 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Dec 1, 2022 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Nov 9, 2015 Accepting new patients
County of Butte Current Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Nov 9, 2015 Accepting new patients

Locations

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

4918 N Habana Ave
Tampa, FL 33614
Phone (727) 710-0900

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Interoperability endpoints

  • Direct secure messaging: arline.kennethmd@direct.mybaycare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1386835163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BAY DR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414719",
            "telephone_number": "786-210-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BAY DR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414719",
            "telephone_number": "786-210-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNETH",
        "first_name": "ARLINE",
        "middle_name": "MAIELLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105268",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME105268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003743000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.