Individual provider Active NPI

Kristi B Hoffmann, PSYD

  • Clinical Neuropsychologist
  • Harrison, NY
National Provider Identifier
1043658313
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
019967-1 Issued in NY
Practice address
600 Mamaroneck Ave.
Suite 400
Harrison, NY 10528
Phone
(914) 575-2760
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 019967-1 NY Primary
Clinical Psychologist 103TC0700X 019967-1 NY

Addresses

Primary practice location

600 Mamaroneck Ave.
Suite 400
Harrison, NY 10528

Mailing address

1 Chatsworth Ave.
Unit 77
Larchmont, NY 10538
Phone (914) 575-2760

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

State licenses

LicenseStateTypeSpecialty
019967-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Westchester Neuropsychological Services, PLLC Clinical Neuropsychologist CurrentSince Nov 24, 2019 Accepting new patients
Che Senior Psychological Services, PC Clinical PastSince Feb 2, 2020 Accepting new patients
Knapp Street Psychiatry, PC Clinical PastSince Feb 2, 2020 Accepting new patients

Locations

600 Mamaroneck Ave
Ste 400
Harrison, NY 10528
Phone (914) 315-4291

1 Chatsworth Ave
Unit 77
Larchmont, NY 10538

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1043658313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHATSWORTH AVE.",
            "address_2": "UNIT 77",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "10538",
            "telephone_number": "914-575-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE.",
            "address_2": "SUITE 400",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "10528",
            "telephone_number": "914-575-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "KRISTI",
        "middle_name": "B",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "019967-1",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019967-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.