KAIROS COUNSELING CENTER
NPI 1629410022
Psychologist - Clinical in Vacaville, CA

Active since July 25, 2013
790 MASON ST STE 102, VACAVILLE, CA 95688(707) 874-8463(707) 455-6026 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2024, Jan 30, 2023 (2 updates tracked since 2023).

About Kairos Counseling Center NPPES

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

KAIROS COUNSELING CENTER (NPI 1629410022) is a healthcare organization registered as a clinical in Vacaville, California and active in the NPI registry since July 2013. The organization lists Phillip James Atkinson, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1629410022
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKAIROS PSYCHOLOGY PC
Location Address790 MASON ST STE 102Vacaville, CA 95688-4661
Mailing Address790 Mason St Ste 102Vacaville, CA 95688-4661 · (707) 874-8463 · Fax (707) 455-6026
Fax(707) 455-6026
Organization SubpartNo
Authorized OfficialPhillip James AtkinsonClinical Director · (707) 874-8463
Enumeration DateJuly 25, 2013
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1629410022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY21927
Definition
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.
790 MASON ST STE 102, Vacaville, CA 95688

Other Names 1

Doing Business AsKairos Counseling Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kairos Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Kairos Counseling Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Marriage and Family Therapist
NPI 1346755717
790 MASON ST STE 102
Vacaville, CA 95688
(707) 628-9926
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1861036691
790 MASON ST STE 102
Vacaville, CA 95688
(707) 639-1215
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1578187811
790 MASON ST STE 102
Vacaville, CA 95688
(707) 874-8463
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1679640247
790 MASON ST STE 102
Vacaville, CA 95688
(707) 874-8463
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1871804856
1761 BROADWAY ST STE 100
Vallejo, CA 94589
(707) 645-2700
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kairos Psychology PC's NPI number?

The NPI number for Kairos Psychology PC is 1629410022. It was assigned to this organization in the NPPES registry on July 25, 2013. The provider is doing business as Kairos Counseling Center.

Where is Kairos Psychology PC located?

Kairos Psychology PC is located at 790 Mason St Ste 102, Vacaville, CA 95688. The listed phone number is (707) 874-8463.

What is Kairos Psychology PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kairos Psychology PC enrolled in Medicare?

Yes. Kairos Psychology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kairos Psychology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Kairos Psychology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Marriage and Family Therapist (4) and Clinical Psychologist (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kairos Psychology PC was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.