Kathleen Restifo, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

013384 Issued in NY

Practice address

111 E 77TH St Ste 3
New York, NY 10075-1802

Phone

(212) 434-2961

NPI assigned

May 18, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleenrestifo@nslijmedgr.allscriptsdirect.net

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.

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  NPD
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  NPD

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1104517317",
    "addresses": [
        {
            "country_code": "NL",
            "country_name": "Netherlands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "GARDELAAN 16",
            "city": "MAASTRICHT",
            "state": "LIMBURG",
            "postal_code": "6213CV"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 77TH ST STE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751802",
            "telephone_number": "212-434-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTIFO",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE EDUCATION DEPARTMENT",
            "identifier": "013384",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rest Massage Therapy and Acupuncture PC
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• Samantha Restal
• Restart Health Chiropractic P.C.
• Restassured MD Inc.
• Andrea Elizabeth Restivo, LMSW
• Joanne Marie Restivo, M.S., CCC
• Tanina Marie Restivo, LMSW
• Restorative Psychiatry, a Professional Nursing Corporation
• Restore Nyc, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.