Organization Active NPI

Kull Individualized Psychotherapy Practice Counseling LCSW PC

  • Social Worker
  • New York, NY
National Provider Identifier
1114605169
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
KULL INDIVIDUALIZED PSYCHOTHERAPY PRACTICE COUNSELING LCSW PC
Practice address
330 W 58TH St Ste 401
New York, NY 10019-1821
Phone
(212) 575-4769
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Ryan M Kull, PHDNPI 1346447844
Title
Owner
Phone
(914) 200-4675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

330 W 58TH St Ste 401
New York, NY 10019-1821

Mailing address

83 S Ocean Ave Unit 500
Patchogue, NY 11772-3702
Phone (914) 200-4675

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1114605169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 S OCEAN AVE UNIT 500",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723702",
            "telephone_number": "914-200-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191821",
            "telephone_number": "212-575-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULL INDIVIDUALIZED PSYCHOTHERAPY PRACTICE COUNSELING LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "KULL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-200-4675",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "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 Jun 12, 2026; 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.