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STEPHANIE KINNARE PHD LLC
NPI 1861280745
Psychologist - Clinical in Jacksonville, FL

Active since April 29, 2025
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258(904) 574-5200 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Kinnare Phd Llc NPPES

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

STEPHANIE KINNARE PHD LLC (NPI 1861280745) is a healthcare organization registered as a clinical in Jacksonville, Florida and active in the NPI registry since April 2025. The organization lists Stephanie Kinnare, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861280745
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSTEPHANIE KINNARE PHD LLC
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
Phone(904) 574-5200
Organization SubpartNo
Authorized OfficialStephanie KinnareCeo · (574) 904-5200
Enumeration DateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1861280745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258
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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

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.

CARL STEVENS
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
TIFFANY WISHAM
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
EMEM WILLIAMS
Social Worker (Clinical)
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (608) 371-9624
MRS. EVELYN JEAN TELEMACQUE
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
ASSURED PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (800) 573-5010
DESIREE CARROLL
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (512) 641-4020
ETHAN WICK
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
STEPHANIE RENEE MCLUCKIE BEHAV
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727

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 Phd LLC's NPI number?

The NPI number for Stephanie Kinnare Phd LLC is 1861280745. It was assigned to this organization in the NPPES registry on April 29, 2025.

Where is Stephanie Kinnare Phd LLC located?

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

What is Stephanie Kinnare Phd LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Stephanie Kinnare Phd LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.