Individual provider Active NPI

Odile M. Hullot-Kentor, PH.D.

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1093980468
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000576 Issued in NY
Practice address
49 W 12TH St Apt 1B
New York, NY 10011-8530
Phone
(212) 591-0056
Fax
(212) 787-0430
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000576 NY Primary

Addresses

Primary practice location

49 W 12TH St Apt 1B
New York, NY 10011-8530

Mailing address

49 W 12TH St Apt 1B
New York, NY 10011-8530
Phone (212) 591-0056

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000576NYMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1093980468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W 12TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118530",
            "telephone_number": "212-591-0056",
            "fax_number": "212-787-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W 12TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118530",
            "telephone_number": "212-591-0056",
            "fax_number": "212-787-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULLOT-KENTOR",
        "first_name": "ODILE",
        "middle_name": "M.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.