Active NPI
Kairos Psychology PC
Doing business as Kairos Counseling Center
- Clinical Psychologist
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY21927
- Legal business name
- KAIROS PSYCHOLOGY PC
- Doing business as
- Kairos Counseling Center
- Practice address
- 790 Mason St Ste 102
Vacaville, CA 95688-4661 - Phone
- (707) 874-8463
- Fax
- (707) 455-6026
- NPI assigned
- Jul 25, 2013
- Last updated
- Feb 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phillip James Atkinson
- Title
- Clinical Director
- Phone
- (707) 874-8463
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY21927 | CA | Primary |
Addresses
Primary practice location
790 Mason St Ste 102
Vacaville, CA 95688-4661
Mailing address
790 Mason St Ste 102
Vacaville, CA 95688-4661
Phone (707) 874-8463
Other names 1
- Kairos Counseling Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5063 Maple Rd
Ste 100
Vacaville, CA 95687
790 Mason St
Ste 102
Vacaville, CA 95688
Phone (707) 335-4209
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Vacaville, CA
- NPI 1346755717
-
- Marriage & Family Therapist
- Vacaville, CA
- NPI 1861036691
-
- Psychologist
- Vallejo, CA
- NPI 1871804856
-
- Marriage & Family Therapist
- Vacaville, CA
- NPI 1578187811
-
- Marriage & Family Therapist
- Vacaville, CA
- NPI 1679640247
-
- Clinical Psychologist
- Vacaville, CA
- NPI 1487828620
-
- Social Worker
- Vacaville, CA
- NPI 1700606126
-
- Marriage & Family Therapist
- Vacaville, CA
- NPI 1093431470
-
- Marriage & Family Therapist
- Vacaville, CA
- NPI 1487426524
-
- Marriage & Family Therapist
- Napa, CA
- NPI 1356903231
Single Specialty
-
- Marriage & Family Therapist
- Vacaville, CA
- NPI 1750752069
-
- Clinical Social Worker
- Vacaville, CA
- NPI 1184157299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1629410022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 MASON ST STE 102",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884661",
"telephone_number": "707-874-8463",
"fax_number": "707-455-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 MASON ST STE 102",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884661",
"telephone_number": "707-874-8463",
"fax_number": "707-455-6026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAIROS PSYCHOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-25",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "ATKINSON",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "707-874-8463",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY21927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kairos Counseling Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kairos Counseling Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vacaville, CA
- K J Kopecko O D Christine L Mayer O D Optometry Corp (Drs. Kopecko and Mayer Vision Clinic Optometry)
- K2 Health Care Inc
- Gerald Phillip Kaban, D.D.S.
- Manraj S Kaeley, PHARMD
- Ruby Kahlon, M.D.
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy No 672)
- Kaiser Foundation Health Plan Inc (Kaiser Permanente Phrmcy #673)
- Kaiser Foundation Hospitals (Kaiser Foundation Hospital Vacaville)
- Kaiser Foundation Hospitals (Kaiser Found Hospital Phrmcy #67A / 67B)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.