Kristen Anne Cercone, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

018043-1 Issued in NY

Practice address

3 Gates Cir
Millard Fillmore Gates Hospital (Child Psyc) 8TH Floor
Buffalo, NY 14209-1120

Phone

(716) 887-5792

Fax

(716) 887-5801

NPI assigned

Feb 24, 2010

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

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

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.

• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1366473183
  NPD
• Kaleida Health

  dba Buffalo General Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  NPD
• Kaleida Health

  dba Kaleida Health Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1992540546
  NPD
• University at Buffalo Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Williamsville, NY
  • NPI 1235155581
  NPD

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1114249695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GATES CIR",
            "address_2": "MILLARD FILLMORE GATES HOSPITAL (CHILD PSYC) 8TH FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091120",
            "telephone_number": "716-887-5792",
            "fax_number": "716-887-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GATES CIR",
            "address_2": "MILLARD FILLMORE GATES HOSPITAL (CHILD PSYC) 8TH FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091120",
            "telephone_number": "716-887-5792",
            "fax_number": "716-887-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERCONE",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018043-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly I Celotto, RPA-C
• Craig Kenneth Cendrowski, RPH
• Chris Ceness, LMHC-P
• Rosemary Diane Cerabone, MS CCC SLP
• Dustin J Ceratt, PA
• Lena Cercone
• Michael Cercone
• Joseph Cerminara, M.D.
• Margaret A Certo, D.D.S.
• Emily Cervi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.