Karen Chesnutt, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

008888-1 Issued in NY

Practice address

5820 Main St
Suite 610
Williamsville, NY 14221-5776

Phone

(716) 633-5782

Fax

(716) 639-1537

NPI assigned

Dec 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Karen Chesnutt, Inc

  • Psychologist
  • Williamsville, NY
  • NPI 1528100468
  NPD (past) Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205991460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST",
            "address_2": "SUITE 610",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215776",
            "telephone_number": "716-633-5782",
            "fax_number": "716-639-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST",
            "address_2": "SUITE 610",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215776",
            "telephone_number": "716-633-5782",
            "fax_number": "716-639-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNUTT",
        "first_name": "KAREN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "008888-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD",
            "identifier": "000510201003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020248802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Chenez, DO
• Yijun Cheng, M.D.
• Harris Chengazi, M.D.
• Raja Cheruvu, MD
• Sreekrishna M Cheruvu, M.D.
• Randy Cheung, MD
• Jennifer Marie Chiarilli, LCSW
• Child & Family Services
• Children's E.N.T., P.C.
• Chiropractic Care Dr. Christina Trzaska PC.

• Psychologist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Psychologist in New York

• 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.

Verify at the official NPI Registry.