Kenneth Allen Blank, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

013740 Issued in NY

Practice address

755 New York Ave
Suite 200
Huntington, NY 11743-4240

Phone

(631) 385-1358

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Barbara a. Romano, PH.D., Psychologist, P.C.

  • Clinical Psychologist
  • Huntington, NY
  • NPI 1588992002
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083774780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WOODBURY RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884729",
            "telephone_number": "631-385-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434240",
            "telephone_number": "631-385-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "KENNETH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01938045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Robert Bisogno, MD
• Adam Bitterman, D.O.
• Christine Marie Blaine, MD
• Holly Susanne Blakley
• Lorna Blando, MD
• Bloom & Flourish Therapy (Bloom & Flourish Mental Health Counseling)
• Adam Harry Bloom, M.D.
• Joan Bloomgarden, MHC
• Blue Sea Educational Consulting, Inc.
• Blue Sea Family Care

• Clinical Psychologist in Huntington, NY
• Providers in Huntington, 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 Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.