Carmen Rita Kaimann, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22875 Issued in TX

Practice address

3560 Delaware St
Suite 107
Beaumont, TX 77706-3067

Phone

(409) 899-3244

Fax

(409) 898-3153

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1477522258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10882 FM 421 RD",
            "city": "KOUNTZE",
            "state": "TX",
            "postal_code": "776256238",
            "telephone_number": "409-899-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE 107",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063067",
            "telephone_number": "409-899-3244",
            "fax_number": "409-898-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIMANN",
        "first_name": "CARMEN",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-2875",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "173000",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032038401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "86978A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susie Jung, PHARMD
• Just Med Work PLLC
• Justin L. Morrison, DDS, PC
• Faidat Jyoti
• Anna Kaihlanen, PHARMD
• Abdul Kalo, DMD
• Alain Kameni
• Kandasami Senthilkumar, MD PA
• Kandaswamy Jayaraj MD PA
• Ravikumar Kanneganti, M.D.

• Clinical Psychologist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.