Provider Demographics
NPI:1033133897
Name:CALBECK, KAIA BETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAIA
Middle Name:BETH
Last Name:CALBECK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 RED RD
Mailing Address - Street 2:SUITE 229
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5428
Mailing Address - Country:US
Mailing Address - Phone:305-669-4455
Mailing Address - Fax:305-665-5899
Practice Address - Street 1:7600 RED RD
Practice Address - Street 2:SUITE 229
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5428
Practice Address - Country:US
Practice Address - Phone:305-669-4455
Practice Address - Fax:305-665-5899
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 6924103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL043Medicare PIN