KAYLEIGH KANGAS-DICK PHD
NPI 1619669074
Psychologist - Clinical Child & Adolescent in Brooklyn, NY

Q: What is Kayleigh Kangas-dick's NPI number?

The NPI number for Kayleigh Kangas-dick is 1619669074. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Q: What is Kayleigh Kangas-dick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: Is Kayleigh Kangas-dick enrolled in Medicare?

No. Kayleigh Kangas-dick has opted out of Medicare through September 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since May 24, 2023Opted out of Medicare · through Sep 25, 2027

159 20TH ST STE 1B, BROOKLYN, NY 11232(603) 558-1938 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kayleigh Kangas-dick Phd NPPES

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

KAYLEIGH KANGAS-DICK PHD (NPI 1619669074) is an individual clinical child & adolescent provider in Brooklyn, New York, licensed in New York (025537) and active in the NPI registry since May 2023. She has opted out of Medicare through September 25, 2027.

NPPES Registry Identity

NPI1619669074

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameKAYLEIGH KANGAS-DICKCredential: PHD

Location Address159 20TH ST STE 1BBrooklyn, NY 11232-1254

Mailing Address159 20th St Ste 1bBrooklyn, NY 11232-1254

Phone(603) 558-1938

Sole ProprietorYes

Enumeration DateMay 24, 2023

NPPES CertifiedMay 24, 2023

✔ NPI 1619669074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in NY · 025537

Definition

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.

159 20TH ST STE 1B, Brooklyn, NY 11232

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kayleigh Kangas-dick Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 25, 2023 through September 25, 2027.

Opt-Out Effective DateSeptember 25, 2023

Opt-Out In Effect ThroughSeptember 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

ALEXIS ACEVEDO LMHC-D, LPC, CASAC-M

Counselor (Mental Health)