Provider Demographics
NPI:1295116176
Name:KAIA CALBECK, PH.D. PA
Entity type:Organization
Organization Name:KAIA CALBECK, PH.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAIA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:CALBECK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:786-683-5100
Mailing Address - Street 1:3777 ROYAL PALM AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3941
Mailing Address - Country:US
Mailing Address - Phone:786-683-5100
Mailing Address - Fax:
Practice Address - Street 1:7600 S RED RD
Practice Address - Street 2:STE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6924103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty