Active NPI
Kads Mental Health Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Frisco, TX
National Provider Identifier
1649088451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- KADS MENTAL HEALTH SERVICES LLC
- Practice address
- 7548 Presin Road
Suite 141
Frisco, TX 75034 - Phone
- (516) 754-2556
- NPI assigned
- Dec 26, 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
- Diane Fontaine, NP
- Title
- Owner
- Phone
- (516) 754-2556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
7548 Presin Road
Suite 141
Frisco, TX 75034
Mailing address
19246 Sandpiper LN
Cottonwood, CA 96022-7907
Phone (516) 754-2556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2628 Victor Ave
Redding, CA 96002
Phone (281) 638-0915
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Redding, CA
- NPI 1194416230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735171200000",
"number": "1649088451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19246 SANDPIPER LN",
"city": "COTTONWOOD",
"state": "CA",
"postal_code": "960227907",
"telephone_number": "516-754-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7548 PRESIN ROAD",
"address_2": "SUITE 141",
"city": "FRISCO",
"state": "TX",
"postal_code": "75034",
"telephone_number": "516-754-2556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KADS MENTAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-26",
"last_updated": "2024-12-26",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "FONTAINE",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-754-2556",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.