MRS. KANDICE KLOREN KAVANAGH PSYCHIATRIC NP
NPI 1013249994
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since February 03, 2010PECOS EnrolledAccepts Medicare Assignment
205 HUDSON ST FL 9, NEW YORK, NY 10013(914) 517-0058 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2025, Aug 8, 2025, Jun 5, 2025 (3 updates tracked since 2025).

About Mrs. Kandice Kloren Kavanagh Psychiatric Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KANDICE KLOREN KAVANAGH PSYCHIATRIC NP (NPI 1013249994) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (406724) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013249994
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KANDICE KLOREN KAVANAGHCredential: PSYCHIATRIC NP
Location Address205 HUDSON ST FL 9New York, NY 10013-1810
Mailing Address205 Hudson St Fl 9New York, NY 10013-1810
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 3, 2010
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
NPI 1013249994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 406724
205 HUDSON ST FL 9, New York, NY 10013

Other Names 1

Former Name (1)Ms. Kandice Kloren Mann

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kandice Kloren Kavanagh Psychiatric Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729585419
PECOS Enrollment IDI20251008003009
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
205 HUDSON ST FL 9
NEW YORK, NY 10013
Social Worker (Clinical)
205 HUDSON ST FL 9
NEW YORK, NY 10013
Psychiatry & Neurology (Psychiatry)
205 HUDSON ST FL 9
NEW YORK, NY 10013
Psychiatry & Neurology (Psychiatry)
205 HUDSON ST FL 9
NEW YORK, NY 10013
Psychiatry & Neurology (Psychiatry)
205 HUDSON ST FL 9
NEW YORK, NY 10013
Psychiatry & Neurology (Psychiatry)
205 HUDSON ST FL 9
NEW YORK, NY 10013
Psychiatry & Neurology (Psychiatry)
205 HUDSON ST FL 9
NEW YORK, NY 10013
Psychiatry & Neurology (Psychiatry)
205 HUDSON ST FL 9
NEW YORK, NY 10013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013249994, enumerated as an "individual" on February 03, 2010.

The provider is located at 205 HUDSON ST FL 9 NEW YORK, NY 10013 and the phone number is (914) 517-0058.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.