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

Mrs. Kandice Kloren Kavanagh, PSYCHIATRICNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1013249994

Mrs. Kandice Kloren Kavanagh, PSYCHIATRICNP is a Nurse Practitioner in New York, New York. Qualified in 2024, 2 years ago. Practices with Medagent Corp, a 26-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2010
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Practice location Address checks out

205 Hudson St Fl 9
New York, NY 10013-1810
Phone: (914) 517-0058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 406724 (NY)

Record details

NPI number1013249994
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHIATRICNP
Sole proprietorNo
NPI enumeratedFebruary 3, 2010
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medagent Corp — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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