Active NPI
Kane Tung, PHD
- Clinical Psychologist
- Hartsdale, NY
National Provider Identifier
1013385921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 68 021367
- Practice address
- 30 E Hartsdale Ave
5D
Hartsdale, NY 10530-2741 - Phone
- (201) 780-3512
- NPI assigned
- Sep 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 68 021367 | NY | Primary |
Addresses
Primary practice location
30 E Hartsdale Ave
5D
Hartsdale, NY 10530-2741
Mailing address
30 E Hartsdale Ave
5D
Hartsdale, NY 10530-2741
Phone (201) 780-3512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68 021367 | NY | MD | Clinical Psychologist |
| 021367-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1013385921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E HARTSDALE AVE",
"address_2": "5D",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105302741",
"telephone_number": "201-780-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E HARTSDALE AVE",
"address_2": "5D",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105302741",
"telephone_number": "201-780-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNG",
"first_name": "KANE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "68 021367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.