Provider Demographics
NPI:1083239867
Name:NYKAI, KAILEY (MA, CAGS, LMHC, LCDP)
Entity type:Individual
Prefix:MS
First Name:KAILEY
Middle Name:
Last Name:NYKAI
Suffix:
Gender:F
Credentials:MA, CAGS, LMHC, LCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 CHARLES STREET, 1ST FLOOR
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904
Mailing Address - Country:US
Mailing Address - Phone:401-329-6527
Mailing Address - Fax:
Practice Address - Street 1:984 CHARLES STREET, 1ST FLOOR
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904
Practice Address - Country:US
Practice Address - Phone:401-329-6527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI200929101YA0400X
RICDP00840101YA0400X
RIMHC01172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)