Individual provider Active NPI

Kara Marie Kirker, PHD

  • Clinical Psychologist
  • Wakefield, RI
National Provider Identifier
1548453145
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01028 Issued in RI
Practice address
24 Salt Pond Rd Ste B4
Wakefield, RI 02879-4320
Phone
(401) 965-5607
Fax
(401) 783-7596
NPI assigned
Aug 27, 2007
Last updated
Oct 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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 PS01028 RI Primary

Addresses

Primary practice location

24 Salt Pond Rd Ste B4
Wakefield, RI 02879-4320

Mailing address

3 Meadow Ridge Rd
Westerly, RI 02891-4001
Phone (401) 965-5607

Other practice location 1

20 Research Pkwy
Suite C
Old Saybrook, CT 06475-4214
Phone (800) 370-3651 ext. 141

Other names 1

  • Kara Kirker Gabriele Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20071114000339 RI Practitioner - Clinical Psychologist 8527156264 Reassigns benefits to 1 organization
Practice locations: Wakefield, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Salt Pond Rd
Suite B4
Wakefield, RI 02879-4320
Phone (401) 248-3954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3336CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Foundations Therapy LLC CurrentSince Sep 1, 2024 Accepting new patients
Medoptions Behavioral Health Assoc, LLC Clinical Past Accepting new patients

Locations

24 Salt Pond Rd
Ste B4
Wakefield, RI 02879
Phone (401) 783-1310

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1548453145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEADOW RIDGE RD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028914001",
            "telephone_number": "401-965-5607",
            "fax_number": "401-783-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE B4",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794320",
            "telephone_number": "401-965-5607",
            "fax_number": "401-783-7596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Research Pkwy",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Old Saybrook",
            "state": "CT",
            "postal_code": "064754214",
            "country_code": "US",
            "telephone_number": "800-370-3651 x141",
            "fax_number": "860-510-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKER",
        "first_name": "KARA",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "GABRIELE",
            "middle_name": "KIRKER",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.