Active NPI
Julie Anne Kaminskas, PH.D
- Psychologist
- Flagstaff, AZ
National Provider Identifier
1992831119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1364
- Practice address
- 616 N Beaver St
Flagstaff, AZ 86001-3012 - Phone
- (928) 773-9390
- Fax
- (928) 779-2124
- NPI assigned
- Feb 23, 2007
- 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 | 1364 | AZ | Primary |
Addresses
Primary practice location
616 N Beaver St
Flagstaff, AZ 86001-3012
Mailing address
1485 W Tolchaco Rd
Flagstaff, AZ 86001-1197
Phone (928) 779-2124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1364 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992831119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 W TOLCHACO RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011197",
"telephone_number": "928-779-2124",
"fax_number": "928-779-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013012",
"telephone_number": "928-773-9390",
"fax_number": "928-779-2124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKAS",
"first_name": "JULIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "1364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.