Active NPI
Keren Adaki, PSYD
- Mental Health Counselor
- Great Neck, NY
National Provider Identifier
1194243345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 003112
- Practice address
- 29 Barstow Rd Ste 201
Great Neck, NY 11021-2209 - Phone
- (917) 526-0766
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003112 | NY | MD | Acupuncturist |
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NY | ||
| Mental Health Counselor | 101YM0800X | 003112 | NY | Primary |
Addresses
Primary practice location
29 Barstow Rd Ste 201
Great Neck, NY 11021-2209
Mailing address
33 Leahy Ave
Brentwood, NY 11717-1011
Phone (631) 434-2545
NPI Registry JSON
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1194243345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEAHY AVE",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117171011",
"telephone_number": "631-434-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BARSTOW RD STE 201",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212209",
"telephone_number": "917-526-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAKI",
"first_name": "KEREN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "003112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.