| Kaim Psychology Pllc | |
|
6 Daphne Ln Centerport NY 11721-1602 | |
| (917) 913-6471 | |
| (631) 754-2909 |
| Full Name | Kaim Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6 Daphne Ln, Centerport, New York |
| Authorized Official Name and Position | Monique Kaim (OWNER) |
| Authorized Official Contact | 9179136471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaim Psychology Pllc 6 Daphne Ln Centerport NY 11721-1602 Ph: (917) 913-6471 | Kaim Psychology Pllc 6 Daphne Ln Centerport NY 11721-1602 Ph: (917) 913-6471 |
| NPI Number | 1326527136 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/13/2018 |
| Medicare PECOS PAC ID | 2567716772 |
|---|---|
| Medicare Enrollment ID | O20181106002909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326527136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Monique Kaim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790805752 PECOS PAC ID: 5496940728 Enrollment ID: I20101112000391 |
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