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

Stephanie Backof Holmes Kinnare, PSYCHOLOGIST

Individual provider Psychologist · NPI 1841637428

Stephanie Backof Holmes Kinnare, PSYCHOLOGIST is a Psychologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

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

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY8730 (FL)

Record details

NPI number1841637428
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHOLOGIST
Sole proprietorNo
NPI enumeratedMay 23, 2013
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Other providers in Jacksonville