Individual provider Active NPI

Harriette Kaley, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1073610739
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003692 Issued in NY
Practice address
142 E 71St St
New York, NY 10021-5157
Phone
(212) 472-0515
Fax
(212) 472-9343
NPI assigned
Sep 17, 2006
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003692 NY Primary

Addresses

Primary practice location

142 E 71St St
New York, NY 10021-5157

Mailing address

142 E 71St St
New York, NY 10021-5157
Phone (212) 472-0515

Other identifiers 5

IdentifierTypeStateIssuer
HK0V523710OtherNYEMPIRE BCBS
V5237OtherNYNEW YORK BCBS (EMPIRE)
144396OtherNYVALUEOPTIONS
7330701OtherNYGHI
7512053OtherNYAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081124000027 NY Practitioner - Clinical Psychologist 6800984014 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

142 E 71St St
New York, NY 10021-5157
Phone (212) 472-0515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1073610739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215157",
            "telephone_number": "212-472-0515",
            "fax_number": "212-472-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215157",
            "telephone_number": "212-472-0515",
            "fax_number": "212-472-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEY",
        "first_name": "HARRIETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "003692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "HK0V523710",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK BCBS (EMPIRE)",
            "identifier": "V5237",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "144396",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7330701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7512053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.