Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Kinnare PHD LLC

Organization Clinical Psychologist · NPI 1861280745

Stephanie Kinnare PHD LLC is a Clinical Psychologist in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (904) 574-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1861280745
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Kinnare — Ceo · (574) 904-5200
NPI enumeratedApril 29, 2025
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486

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