Kate Graen

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10170 Issued in GA

Practice address

4895 Shalimar LN Apt 11207
Davie, FL 33328-7168

Phone

(480) 216-7783

NPI assigned

Apr 16, 2019

Last updated

Jun 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Segal Telepsychiatry NetworkGroup PAC ID 1951564111, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Segal Telepsychiatry Network

  • Psychoanalyst
  • Mill Valley, CA
  • NPI 1245529296
  Medicare reassignment Care Compare group
• Segal Telepsychiatry Network, PLLC

  • Psychiatry Physician
  • Mill Valley, CA
  • NPI 1518674852
  NPD

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1447813555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 SHALIMAR LN APT 11207",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333287168",
            "telephone_number": "480-216-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 SHALIMAR LN APT 11207",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333287168",
            "telephone_number": "480-216-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEN",
        "first_name": "KATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "10170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ange Gouraige
• Hassan Gowani
• Jose M Goyos, DO
• Grace Home Rehab Services LLC
• Alisa Gracheva, LMHC
• Aaliyah Graham
• Diana Graibe, PHARM.D
• Jennifer Graciela Granada
• Bryan Granie, MS
• Maria P Granja Perez

• Psychiatry Physician in Davie, FL
• Providers in Davie, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.