Active NPI
Monique Camille Kaim, PH.D.
- Psychologist
- Centerport, NY
National Provider Identifier
1790805752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 013230-1
- Practice address
- 6 Daphne LN
Centerport, NY 11721-1602 - Phone
- (917) 913-6471
- NPI assigned
- Mar 30, 2007
- Last updated
- Oct 18, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 013230-1 | NY | Primary |
Addresses
Primary practice location
6 Daphne LN
Centerport, NY 11721-1602
Mailing address
6 Daphne LN
Centerport, NY 11721-1602
Phone (917) 913-6471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
381 Swartekill Rd
Highland, NY 12528-2922
Phone (917) 913-6471
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013230-1 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaim Psychology PLLC | Current | Accepting new patients | |
| Sunrise Psychology, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Centerport, NY
- NPI 1326527136
-
- Clinical Psychologist
- Smithtown, NY
- NPI 1366796005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1790805752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 DAPHNE LN",
"city": "CENTERPORT",
"state": "NY",
"postal_code": "117211602",
"telephone_number": "917-913-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 DAPHNE LN",
"city": "CENTERPORT",
"state": "NY",
"postal_code": "117211602",
"telephone_number": "917-913-6471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIM",
"first_name": "MONIQUE",
"middle_name": "CAMILLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "013230-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.