DR. CARMEN RITA KAIMANN (NPI# 1477522258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477522258 |
| Entity Type | Individual |
| Full Name | DR. CARMEN RITA KAIMANN |
| Credential | PH.D. |
| Practice Address |
3560 Delaware St Suite 107 Beaumont TX 77706-3067 |
| Mailing Address |
10882 Fm 421 Rd Kountze TX 77625-6238 |
| Practice Telephone | 4098993244 |
| Practice Fax Number | 4098983153 |
| Mailing Telephone | 4098993244 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 2-2875 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
22875 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | COMPSYCH | 173000 | 01 |
| TX | 032038401 | 05 | |
| TX | BLUE CROSS/BLUE SHIELD | 86978A | 01 |
| Street Address |
3560 DELAWARE ST SUITE 107 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-3067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071915 | Dave S. Carpenter | Dentist | 3560 Delaware St, Ste 1003, Beaumont, TX 77706-3026 | 2005-05-31 |
| 1780234229 | Morgan Mayeux | Pathology | 3560 Delaware St, Beaumont, TX 77706-3067 | 2019-09-17 |
| 1033634514 | Lindsey Kathleen Hullett | Internal Medicine | 3560 Delaware St, Beaumont, TX 77706-3067 | 2017-08-07 |
| 1508392317 | Reeti K Joshi, Md Pa | Internal Medicine | 3560 Delaware St, 301, Beaumont, TX 77706-3067 | 2017-05-11 |
| 1578947438 | Desiree Rice | Counselor | 3560 Delaware St, Suite 1205, Beaumont, TX 77706-3067 | 2015-07-10 |
| 1528482486 | Dexter Simmons | Physical Therapist | 3560 Delaware St, Suite# 301, Beaumont, TX 77706-3067 | 2014-02-13 |
| 1649510694 | Jeniffer Kay Esclovon | Counselor | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2013-02-27 |
| 1235486036 | Elyse Lynn Brack | Physician Assistant | 3560 Delaware St, Suite 901, Beaumont, TX 77706-3067 | 2012-08-10 |
| 1780931154 | Bethanne Fondren Carson | Nurse Practitioner | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2012-08-05 |
| 1255686226 | Beaumont Smile Center, P.a. | Dentist | 3560 Delaware St, Suite 102, Beaumont, TX 77706-3067 | 2012-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634492 | Jared A Doegey | Psychologist | 1683 Cirrus Way, Beaumont, CA 92223-3232 | 2020-03-17 |
| 1326443391 | Scott Forbes | Psychologist | 6200 Knauth Rd, Beaumont, TX 77705 | 2014-11-03 |
| 1831517481 | Andrew William Mezurecky | Psychologist | 546 Cyrise Lane, Beaumont, CA 92223 | 2014-04-01 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1740380732 | John Walter Bordages Jr. | Psychologist | 6870 Phelan Blvd, Beaumont, TX 77706-5970 | 2006-09-22 |
| 1396752580 | Rita Hurt | Psychologist | 150 Dowler Rd, Ste B, Beaumont, TX 77706 | 2006-08-01 |
| 1952321697 | Christine M Mcmahon | Psychologist | 790 Beaumont Ave, #224, Beaumont, CA 92223-5900 | 2006-07-19 |
| 1194718650 | Kevin Mark Correia | Psychologist | 8155 Gladys Ave, Beaumont, TX 77706 | 2005-08-30 |
| 1962665919 | James A Duncan | Psychologist | 3560 Delaware, Suite 602, Beaumont, TX 77706 | 2008-07-09 |
| 1962572545 | James A. Duncan | Psychologist | 3560 Delaware St, Ste. 602, Beaumont, TX 77706-3067 | 2006-11-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.