Active NPI
Deborah King Kundert, PHD
- Clinical Neuropsychologist
- Albany, NY
National Provider Identifier
1174653281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 010764
- Practice address
- 1740 Western Ave
Suite 100
Albany, NY 12203-4414 - Phone
- (518) 464-5060
- Fax
- (518) 464-5023
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 Neuropsychologist | 103G00000X | 010764 | NY | Primary |
Addresses
Primary practice location
1740 Western Ave
Suite 100
Albany, NY 12203-4414
Mailing address
33 Rockrose Drive
East Greenbush, NY 12061-1673
Phone (518) 436-3674
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V889A | Other | EMPIRE BCBS | |
| 000490284003 | Other | BSNENY | |
| 10016143 | Other | CDPHP |
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 |
|---|---|---|---|
| 010764 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCaffrey Psychological PC | Clinical Neuropsychologist | 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.
-
- Clinical Neuropsychologist
- Albany, NY
- NPI 1194766873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174653281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ROCKROSE DRIVE",
"city": "EAST GREENBUSH",
"state": "NY",
"postal_code": "120611673",
"telephone_number": "518-436-3674",
"fax_number": "518-464-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 WESTERN AVE",
"address_2": "SUITE 100",
"city": "ALBANY",
"state": "NY",
"postal_code": "122034414",
"telephone_number": "518-464-5060",
"fax_number": "518-464-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNDERT",
"first_name": "DEBORAH",
"middle_name": "KING",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "010764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "V889A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000490284003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10016143",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.