Active NPI
Arline Maiella Kenneth, MD
- Psychiatry Physician
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME105268
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003743000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME105268 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Butte | Current | Accepting new patients | |
| County of Butte | Current | Accepting new patients | |
| Asana Integrated Medical Group PC | Psychiatry | Current | Accepting new patients |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| County of Butte | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | 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
- 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.
-
- Psychiatry Physician
- Lutz, FL
- NPI 1245502152
-
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1467584805
-
- Adult Mental Health Clinic/Center
- Chico, CA
- NPI 1578623583
-
- Psychiatry Physician
- Clearwater, FL
- NPI 1952856858
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paradise, CA
- NPI 1174161343
-
- Adult Mental Health Clinic/Center
- Chico, CA
- NPI 1992248132
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.