Healthcare Provider Details

I. General information

NPI: 1528318060
Provider Name (Legal Business Name): KAYZIM Y SUAREZ-REYES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAYZIM SUAREZ PHD

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W FRANKLIN ST STE 203
MONTEREY CA
93940-2725
US

IV. Provider business mailing address

140 W FRANKLIN ST STE 203
MONTEREY CA
93940-2725
US

V. Phone/Fax

Practice location:
  • Phone: 831-769-6775
  • Fax:
Mailing address:
  • Phone: 831-769-6775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY30244
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: