Kain Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7579 Issued in FL

Legal business name

KAIN PSYCHOLOGICAL SERVICES LLC

Practice address

1415 Panther LN Ste 223
Naples, FL 34109-7874

Phone

(239) 593-6112

NPI assigned

Sep 7, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela Sue Kain, PSYD

Title

Sole Member

Phone

(239) 398-0337

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547251200000",
    "number": "1861975617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 PINE RIDGE RD STE 334",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092006",
            "telephone_number": "239-398-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LN STE 223",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-593-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIN PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2019-01-12",
        "status": "A",
        "authorized_official_last_name": "KAIN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "239-398-0337",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7579",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH LICENSE",
            "identifier": "PY7579",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kaczmarowski, CRNA
• Gregg Herbert Kadera, RN
• Elisabeta Kafexhi, PHARM.D
• Ari Michael Kagan, BCBA
• Elizabeth Kahl, RD
• Pamela Sue Kain, PSYD
• Nicoleta Kakaes, M.D.
• Andrew Kaldany, D.M.D
• Brandon Kalivoda, MD
• Koureteney Kallay

• Clinical Psychologist in Naples, FL
• Providers in Naples, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.