Active NPI
Kathryn Elizabeth Moreno, LCAT
- Psychoanalyst
- Eastchester, NY
National Provider Identifier
1093346272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 001221
- Practice address
- 434 White Plains Rd Ste 6
Eastchester, NY 10709-2828 - Phone
- (617) 510-0931
- NPI assigned
- Jan 28, 2020
- Last updated
- Jun 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH22366 | FL | |
| Art Therapist | 221700000X | 002432 | NY | |
| Psychoanalyst | 102L00000X | 001221 | NY | Primary |
Addresses
Primary practice location
434 White Plains Rd Ste 6
Eastchester, NY 10709-2828
Mailing address
91 Lakeshore Dr
Eastchester, NY 10709-5214
Phone (617) 510-9031
Other practice location 1
245 E 13th St
New York, NY 10003-5641
Phone (212) 422-1221
Other practice location 2
91 Lakeshore Dr
Eastchester, NY 10709-5214
Phone (617) 510-9031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 7, 2025 through Mar 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH22366 | FL | MD | Mental Health Counselor |
| 001221 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1093346272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 LAKESHORE DR",
"city": "EASTCHESTER",
"state": "NY",
"postal_code": "107095214",
"telephone_number": "617-510-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 WHITE PLAINS RD STE 6",
"city": "EASTCHESTER",
"state": "NY",
"postal_code": "107092828",
"telephone_number": "617-510-0931"
}
],
"practiceLocations": [
{
"address_1": "245 E 13th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100035641",
"country_code": "US",
"telephone_number": "212-422-1221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "91 Lakeshore Dr",
"address_purpose": "LOCATION",
"city": "Eastchester",
"state": "NY",
"postal_code": "107095214",
"country_code": "US",
"telephone_number": "617-510-9031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH22366",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "002432",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "001221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastchester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.