STEPHANIE BACKOF HOLMES KINNARE PSYCHOLOGIST
NPI 1841637428
Psychologist in Jacksonville, FL

Active since May 23, 2013PECOS Enrolled
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258(904) 574-5200 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2023, May 13, 2022, Jan 11, 2022 and 1 more (4 updates tracked since 2018).

About Stephanie Backof Holmes Kinnare Psychologist NPPES

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

STEPHANIE BACKOF HOLMES KINNARE PSYCHOLOGIST (NPI 1841637428) is an individual psychologist in Jacksonville, Florida, licensed in Florida (PY8730) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841637428
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTEPHANIE BACKOF HOLMES KINNARECredential: PSYCHOLOGIST
Location Address12724 GRAN BAY PKWY W STE 410Jacksonville, FL 32258-9486
Mailing Address12724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486 · (904) 574-5200
Sole ProprietorNo
Enumeration DateMay 23, 2013
Last NPPES UpdateSeptember 30, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1841637428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY8730
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258

Other Names 1

Former Name (1)Stephanie B Holmes

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Backof Holmes Kinnare Psychologist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Social Worker (Clinical)
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Nurse Practitioner (Psychiatric/Mental Health)
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258

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 Stephanie Kinnare's NPI number?

The NPI number for Stephanie Kinnare is 1841637428. It was assigned to this individual provider in the NPPES registry on May 23, 2013. The provider is also known as Stephanie B Holmes.

Where is Stephanie Kinnare located?

Stephanie Kinnare practices at 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258. The listed phone number is (904) 574-5200.

What is Stephanie Kinnare's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stephanie Kinnare enrolled in Medicare?

Yes. Stephanie Kinnare is registered in the Medicare PECOS enrollment system.

What insurance does Stephanie Kinnare accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Stephanie Kinnare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Kinnare was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.