Jeanne Mary Kotuby, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016044 Issued in NY

Practice address

135 Prospect Park W
#44A
Brooklyn, NY 11215-4267

Phone

(718) 788-6886

NPI assigned

Jan 16, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1134108293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PROSPECT PARK W",
            "address_2": "#44A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154267",
            "telephone_number": "718-788-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PROSPECT PARK W",
            "address_2": "#44A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154267",
            "telephone_number": "718-788-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTUBY",
        "first_name": "JEANNE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "257029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3587910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena Kotrri, DDS
• Yana Kotsan, CCC-SLP
• Vita Kotsar, LMSW
• Timothy Kotsuba, PHARMD
• Suresh Kotte, MSPT
• Roshni Kotwani, DO
• Cooper Wills Kotzan, LMSW
• Sandra H. Kotzen, L.C.S.W.
• Selwyn Kotzen, LCSW
• Nafila Kouba, M.D.

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.