KIMBERLY CAIRES — NPI 1396375382 (Licensed & Credentialed Behavior Analyst in SANDY HOOK, CT)

CMS-1500 Box 24J / 33a • NPI

1396375382

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103K00000X

Licensed & Credentialed Behavior Analyst

Box 32 Service Location & ZIP+4

50 CHARTER RIDGE DR, SANDY HOOK, CT, 06482-1574

✓ 9-Digit EDI 837 ZIP+4 (06482-1574)

Practice Phone & Referral Fax

(914) 826-1125

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1396375382 (KIMBERLY CAIRES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1396375382` (NPI-1 Individual Practitioner)
Provider / Legal Name	KIMBERLY CAIRES
Plain-English Specialty	Licensed & Credentialed Behavior Analyst NUCC Code: `103K00000X` (Behavior Analyst)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	50 CHARTER RIDGE DR, SANDY HOOK, CT, 06482-1574
Practice Telephone / Fax	Tel: (914) 826-1125
Administrative Mailing Address	500 BEDFORD ST APT 443, STAMFORD, CT, 06901-1525
Enumeration & Last Sync	Enumerated: 2020-01-19 \| CMS Record Updated: 2020-01-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

50 CHARTER RIDGE DR, SANDY HOOK, CT, 06482-1574

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Plain-English Taxonomy & CMS Crosswalk (103K00000X)

What Does Taxonomy Code 103K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Analyst for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KIMBERLY CAIRES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: CT \| License: `1-19-39814` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KIMBERLY CAIRES (NPI #1396375382)