Katherine Barney-Pezzola

Individual provider Active NPI Marriage & Family Therapist · Mamaroneck, NY

NPI 1194551960 · NPPES record last updated Dec 12, 2025

Key facts

NPI
1194551960
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1792 (CT)
Practice address
225 Jensen Ave
Mamaroneck, NY 10543-2930
Phone
(914) 414-5739
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1792CTMDAthletic Trainer
001321-1NYMDAudiologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001321-1 NY
Marriage & Family Therapist 106H00000X 1792 CT Yes

Addresses

Primary practice location

225 Jensen Ave
Mamaroneck, NY 10543-2930

Mailing address

225 Jensen Ave
Mamaroneck, NY 10543-2930
Phone (914) 361-9005

Other providers in Mamaroneck, NY

All providers in Mamaroneck, NY · Marriage & Family Therapist in New York

Sources for this page

Verify at the official NPI Registry.