Provider Demographics
NPI:1396048575
Name:KASKEL, ILENE FAITH (PSYD)
Entity type:Individual
Prefix:DR
First Name:ILENE
Middle Name:FAITH
Last Name:KASKEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:ILENE
Other - Middle Name:FAITH
Other - Last Name:SITNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:11089 HARBOUR SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1244
Mailing Address - Country:US
Mailing Address - Phone:561-345-0113
Mailing Address - Fax:
Practice Address - Street 1:4851 W HILLSBORO BLVD STE A1
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4355
Practice Address - Country:US
Practice Address - Phone:561-463-2235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-10
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8193103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPY8193OtherLICENSE NUMBER