Kristin Canavera, PHD
Individual provider Active NPI Clinical Psychologist · Birmingham, AL
NPI 1922403567 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1922403567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2378 (AL)
- Practice address
- 1600 7TH Ave S
Birmingham, AL 35233-1711 - Phone
- (205) 638-9285
- NPI assigned
- Oct 24, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241028003908 | AL | Practitioner - Clinical Psychologist | 4789054461 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| University of Alabama Health Services Foundation, PC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients |
Locations
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587
1514 Jefferson Hwy
New Orleans, LA 70121
1315 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2378 | AL | |
| Clinical Psychologist | 103TC0700X | 2378 | AL | Yes |
Addresses
Primary practice location
1600 7TH Ave S
Birmingham, AL 35233-1711
Mailing address
1600 7TH Ave S
Birmingham, AL 35233-1711
Phone (205) 638-9285
Other providers in Birmingham, AL
- Virginia A Campbell
- William David Campbell
- Dana C Camper
- Gabriela Alejandra Campis
- Lauren Campisi
- Ashley Nicole Cancer
- Candid Alabama LLC
- Sofia Mabel Canete Portillo
- Sterling Cannady
- Leon Cannizzaro III
All providers in Birmingham, AL · Clinical Psychologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.