Active NPI
Carol Kyle, PH.D.
- Psychologist
- Arcadia, FL
National Provider Identifier
1629082789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY5397
- Practice address
- 725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752 - Phone
- (239) 936-5250
- Fax
- (239) 936-9970
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 010638-1 | NY | |
| Psychologist | 103T00000X | PY5397 | FL | Primary |
Addresses
Primary practice location
725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752
Mailing address
2040 Alta Meadows LN
1605
Delray Beach, FL 33444-1171
Phone (845) 671-0060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010638-1 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollander Psychological Consulting PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- White Plains, NY
- NPI 1760534481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1629082789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 ALTA MEADOWS LN",
"address_2": "1605",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334441171",
"telephone_number": "845-671-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 N 12TH AVE BLDG B",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342668752",
"telephone_number": "239-936-5250",
"fax_number": "239-936-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYLE",
"first_name": "CAROL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "010638-1",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY5397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.