Organization Active NPI

Kads Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1649088451
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Dec 26, 2024

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250520004699 CA Part B Supplier - Clinic/Group Practice 8022539766 Receives reassigned benefits from 1 practitioner
Practice locations: Redding, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.