Active NPI
Ron Kraus, PHD
- Clinical Psychologist
- Manhattan, NY
National Provider Identifier
1124042759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 12706
- Practice address
- 333 W 57TH St #103
Manhattan, NY 10019 - Phone
- (877) 375-7287
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 12706 | NY | Primary |
Addresses
Primary practice location
333 W 57TH St #103
Manhattan, NY 10019
Mailing address
1398 River Rd
Teaneck, NJ 07666
Phone (201) 692-0857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01742227 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12706 | NY | MD | Clinical Psychologist |
| 012706 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1124042759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1398 RIVER RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "201-692-0857",
"fax_number": "201-692-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W 57TH ST #103",
"city": "MANHATTAN",
"state": "NY",
"postal_code": "10019",
"telephone_number": "877-375-7287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "RON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "12706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01742227",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.