Active NPI
Kairos Psychology PC
- Clinical Psychologist
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY21927
- Legal business name
- KAIROS PSYCHOLOGY PC
- Practice address
- 790 Mason St Ste 102
Vacaville, CA 95688-4661 - Phone
- (707) 874-8463
- Fax
- (707) 455-6026
- NPI assigned
- Jul 25, 2013
- 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
790 Mason St
Ste 102
Vacaville, CA 95688
Phone (707) 335-4209
5063 Maple Rd
Ste 100
Vacaville, CA 95687
5063 Maple Rd
Vacaville, CA 95687
Phone (540) 993-3422
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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": "193400000X SINGLE SPECIALTY 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
- 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 Foundation Health Plan Inc
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
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.