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KAIROS PSYCHOLOGY PC NPI 1629410022


NPI Information

NPI: 1629410022
Provider Name: KAIROS PSYCHOLOGY PC

Doing Business As: KAIROS COUNSELING CENTER

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
790 MASON ST STE 102
VACAVILLE, CA
ZIP 95688
Phone: (707) 874-8463
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KAIROS PSYCHOLOGY PC is a clinical psychologist in Vacaville, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. KAIROS PSYCHOLOGY PC NPI is 1629410022. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kairos Counseling Center.

The provider's business location address is:

790 MASON ST STE 102
VACAVILLE, CA
ZIP 95688-661
Phone: (707) 874-8463
Fax: (707) 455-6026

The provider's authorized official is Phillip James Atkinson .
The authorized official title is Clinical Director and has the following contact phone number (707) 874-8463.

The enumeration date for this NPI number is 7/25/2013 and was last updated on 2/6/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY21927CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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