Individual provider Active NPI

Ilene Faith Kaskel, PSY.D.

  • Clinical Psychologist
  • Coconut Creek, FL
National Provider Identifier
1396048575
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8193 Issued in FL
Practice address
4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355
Phone
(561) 463-2235
NPI assigned
Dec 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 PY8193 FL Primary

Addresses

Primary practice location

4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355

Mailing address

11089 Harbour Springs Cir
Boca Raton, FL 33428-1244
Phone (561) 345-0113

Other identifiers 1

IdentifierTypeStateIssuer
PY8193OtherFLLICENSE NUMBER

Other names 1

  • Ms. Ilene Faith Sitner Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY8193FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1396048575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11089 HARBOUR SPRINGS CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281244",
            "telephone_number": "561-345-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD STE A1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734355",
            "telephone_number": "561-463-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASKEL",
        "first_name": "ILENE",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PY8193",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILENE",
            "last_name": "SITNER",
            "middle_name": "FAITH",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.