Kierstan Ruth Hall, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

026083 Issued in NY

Practice address

1563 Montauk Hwy
Oakdale, NY 11769-1322

Phone

(631) 563-3162

NPI assigned

Oct 20, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1013799352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ROCKAWAY ST",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521017",
            "telephone_number": "516-497-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691322",
            "telephone_number": "631-563-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KIERSTAN",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "026083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Golon
• Aimee Gosse
• Amy Susan Gribbin, BS, CCE, CBC, LPN
• Corina Guachichullca, LMT
• Gina Marie Guschel, PA-C
• David R Hescheles, PSY.D.
• Christine K Himpler, RN
• Nancy Theresa Houghtalen, MA CCC SLP
• Joseph Huberman
• Alexandria Marcella Hutchins

• Psychologist in Oakdale, NY
• Providers in Oakdale, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.