Kelly Shea McMeen Horowitz, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

025636 Issued in NY

Practice address

4848 Broadway Apt 2C
New York, NY 10034-3147

Phone

(260) 417-2482

NPI assigned

Apr 3, 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

Other names 1

• Dr. Kelly Shea McMeen Former name

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

Medicare enrollment (NPD)

Enrolled

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.

• Aa Psychology PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1932975919
  Medicare reassignment

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1083319727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 BROADWAY APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343147",
            "telephone_number": "260-417-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 BROADWAY APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343147",
            "telephone_number": "260-417-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "KELLY",
        "middle_name": "SHEA MCMEEN",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCMEEN",
            "middle_name": "SHEA",
            "prefix": "DR.",
            "credential": "PSY. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jay Horowitz, PHARMACIST, RPH
• Jordan Horowitz
• Joyce L. Horowitz, LCSW
• Julian B. Horowitz, PH.D.
• Julie Horowitz, M.S
• Kelsey Rae Horowitz
• Lauren Horowitz, OTR/L
• Mark David Horowitz, MD
• Marylin Horowitz, LP
• Matthew C Horowitz, O.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.