KAYLEIGH KANGAS-DICK PHD
NPI 1619669074
Psychologist - Clinical Child & Adolescent in Brooklyn, NY
NPI Status: Active since May 24, 2023
Contact Information
159 20TH ST STE 1B
BROOKLYN, NY
ZIP 11232
Phone: (603) 558-1938
- Individual
- Female
- Psychologist
- Clinical Child & Adolescent
- Opted-Out Medicare
About KAYLEIGH KANGAS-DICK
This page provides the complete NPI Profile along with additional information for Kayleigh Kangas-dick, a provider established in Brooklyn, New York with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1619669074 assigned on May 2023. The practitioner's primary taxonomy code is 103TC2200X with license number 025537 (NY). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1619669074
- Provider Name
- KAYLEIGH KANGAS-DICK PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 159 20TH ST STE 1B BROOKLYN, NY 11232
- Location Phone
- (603) 558-1938
- Mailing Address
- 159 20TH ST STE 1B BROOKLYN, NY 11232
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-24-2023
- Last Update Date
- 05-24-2023
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kayleigh Kangas-dick opted out of Medicare effective on 09-25-2023 until 09-25-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 025537
- License State
- NY
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-25-2023
Opt-Out End Date: 09-25-2025
Eligible to Order and Refer? No
Reviews for KAYLEIGH KANGAS-DICK PHD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 6 | 6 | 9 | 0 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 12 | 6 | 18 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 1 + 2 + 6 + 1 + 8 + 0 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1619669074 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508277807 | CHRISTY HARRISON MPH, RD Individual | Dietitian, Registered | 159 20TH ST STE 1B BROOKLYN, NY 11232 (347) 349-3698 |
| 1831689603 | REFRESH PSYCHOTHERAPY, LCSW, PLLC Organization | Social Worker (Clinical) | 159 20TH ST STE 1B BROOKLYN, NY 11232 (646) 685-4499 |
| 1619690070 | E & R PSYCHOLOGY, PC Organization | Counselor (Mental Health) | 159 20TH ST STE 1B BROOKLYN, NY 11232 (718) 635-0518 |
| 1073904975 | ALEXIS ACEVEDO LMHC, CASAC-M Individual | Counselor (Mental Health) | 159 20TH ST STE 1B BROOKLYN, NY 11232 (646) 685-4422 |
| 1124647003 | SP, NP IN PSYCHIATRY PLLC Organization | Nurse Practitioner (Psychiatric/Mental Health) | 159 20TH ST STE 1B BROOKLYN, NY 11232 (646) 600-9704 |
| 1790565257 | SPIRITUALLY CONNECTED Organization | Private Vehicle | 159 20TH ST STE 1B BROOKLYN, NY 11232 (866) 637-4331 |
| 1811729395 | ACUTE HOME CARE LLC Organization | Home Health | 159 20TH ST STE 1B BROOKLYN, NY 11232 (718) 504-0012 |
| 1902590631 | SHIREEN KHAN LCSW Individual | Social Worker (Clinical) | 159 20TH ST STE 1B BROOKLYN, NY 11232 (347) 692-8783 |
| 1891047718 | EVE L RAVINETT LMSW Individual | Social Worker | 159 20TH ST STE 1B BROOKLYN, NY 11232 (646) 685-4422 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619669074, enumerated in the NPI registry as an "individual" on May 24, 2023
The provider is located at 159 20th St Ste 1b Brooklyn, Ny 11232 and the phone number is (603) 558-1938
The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent
No, the provider signed an affidavit on September 25, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 25, 2025.
This NPI record was last updated on May 24, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.