Active NPI
Henry Kronengold, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1174189377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014233-1
- Practice address
- 5 W 86TH St Apt 10B
New York, NY 10024-3664 - Phone
- (212) 721-2436
- NPI assigned
- May 13, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 014233-1 | NY | Primary |
| Psychologist | 103T00000X | 014233-1 | NY |
Addresses
Primary practice location
5 W 86TH St Apt 10B
New York, NY 10024-3664
Mailing address
5 W 86TH St Apt 11E
New York, NY 10024-3664
Phone (212) 721-2436
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014233-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594425600000",
"number": "1174189377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 W 86TH ST APT 11E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243664",
"telephone_number": "212-721-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 W 86TH ST APT 10B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243664",
"telephone_number": "212-721-2436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONENGOLD",
"first_name": "HENRY",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-13",
"last_updated": "2020-07-11",
"certification_date": "2020-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014233-1",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NY",
"license": "014233-1",
"primary": false
}
],
"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 Jul 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.