Individual provider Active NPI

Kristina Aganova, PSYD

  • Clinical Psychologist
  • Hackensack, NJ
National Provider Identifier
1184233371
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00769600 Issued in NJ
Practice address
301 Beech St Apt 2H
Hackensack, NJ 07601-2137
Phone
(646) 206-4548
NPI assigned
Jul 23, 2020
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 026831 NY
Clinical Psychologist 103TC0700X 35SI00769600 NJ Primary

Addresses

Primary practice location

301 Beech St Apt 2H
Hackensack, NJ 07601-2137

Mailing address

301 Beech St Apt 2H
Hackensack, NJ 07601-2137

Other practice location 1

7 W 36th St Fl 15
New York, NY 10018-7151
Phone (646) 206-4548

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

State licenses

LicenseStateTypeSpecialty
35SI00769600NJMDClinical Psychologist
026831NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
K&a Psychology Group LLC Clinical Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1184233371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BEECH ST APT 2H",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BEECH ST APT 2H",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012137",
            "telephone_number": "646-206-4548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 W 36th St Fl 15",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187151",
            "country_code": "US",
            "telephone_number": "646-206-4548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGANOVA",
        "first_name": "KRISTINA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "026831",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00769600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.