Active NPI
Robin Kerner, PHD
- Psychologist
- New York, NY
National Provider Identifier
1124046321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 13929
- Practice address
- 610 W 110TH St
Suite 3B
New York, NY 10025-2156 - Phone
- (212) 875-1289
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 13929 | NY | Primary |
Addresses
Primary practice location
610 W 110TH St
Suite 3B
New York, NY 10025-2156
Mailing address
68 Saint Andrews Cir
Southampton, NY 11968-3815
Phone (212) 875-1289
Other practice location 1
68 Saint Andrews Cir
Southampton, NY 11968-3815
Phone (212) 875-1289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02294939 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 12, 2024 through Mar 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013929 | NY | MD | Mental Health Counselor |
| 13929 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLR Psychiatric Associates | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- New York, NY
- NPI 1164453312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1124046321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 SAINT ANDREWS CIR",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119683815",
"telephone_number": "212-875-1289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W 110TH ST",
"address_2": "SUITE 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100252156",
"telephone_number": "212-875-1289"
}
],
"practiceLocations": [
{
"address_1": "68 Saint Andrews Cir",
"address_purpose": "LOCATION",
"city": "Southampton",
"state": "NY",
"postal_code": "119683815",
"country_code": "US",
"telephone_number": "212-875-1289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERNER",
"first_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "13929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02294939",
"state": "NY"
}
],
"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 May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.