Individual provider Active NPI

Kaci Garcia, PSY.D

  • Clinical Psychologist
  • Coconut Creek, FL
National Provider Identifier
1437815644
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11309 Issued in FL
Practice address
4851 W Hillsboro Blvd
Coconut Creek, FL 33073-4355
Phone
(954) 428-6020
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 11309 FL Primary

Addresses

Primary practice location

4851 W Hillsboro Blvd
Coconut Creek, FL 33073-4355

Mailing address

10306 Breezeway PL
Boca Raton, FL 33428-5860
Phone (770) 608-8687

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
I20211203002481 FL Practitioner - Clinical Psychologist 6507256617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Dana Ratsprecher Psy.D., LLCGroup PAC ID 2466629530, 7 clinicians
Martin D Segel PHDGroup PAC ID 9638078454, 4 clinicians

Practice addresses (Care Compare)

2090 N Congress Ave
Colonia Assisted Living
West Palm Beach, FL 33401-8210
Phone (561) 907-8898

4851 W Hillsboro Blvd
A1
Coconut Creek, FL 33073-4355
Phone (954) 428-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11309FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin D Segel PH.D. CurrentSince Nov 23, 2021 Accepting new patients
Dr. Dana Ratsprecher Psy.D., LLC Clinical CurrentSince Mar 1, 2022 Accepting new patients

Locations

4851 W Hillsboro Blvd
Ste A1
Coconut Creek, FL 33073
Phone (561) 463-2235

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": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1437815644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 BREEZEWAY PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285860",
            "telephone_number": "770-608-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734355",
            "telephone_number": "954-428-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KACI",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "11309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.