Individual provider Active NPI

Clara Kuntz, PH.D.

  • Psychologist
  • Buffalo, NY
National Provider Identifier
1114511672
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
023944 Issued in NY
Practice address
2969 Main St Ste 400
Buffalo, NY 14214-1066
Phone
(716) 300-6304
NPI assigned
Feb 25, 2021
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 023944 NY Primary

Addresses

Primary practice location

2969 Main St Ste 400
Buffalo, NY 14214-1066

Mailing address

2969 Main St Ste 400
Buffalo, NY 14214-1066
Phone (716) 300-6304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 26, 2021 through Feb 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
023944NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Introspective Journey Psychological Services, PLLC Psychologist CurrentSince Aug 13, 2023 Accepting new patients

Locations

2969 Main St
Ste 400
Buffalo, NY 14214
Phone (716) 300-6304

792 Davison Rd
Lockport, NY 14094
Phone (716) 434-7047

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1114511672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 MAIN ST STE 400",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141066",
            "telephone_number": "716-300-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 MAIN ST STE 400",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141066",
            "telephone_number": "716-300-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZ",
        "first_name": "CLARA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.