Active NPI
James David Kestenbaum, PH.D.
- Psychologist
- Pittsford, NY
National Provider Identifier
1235258021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 009690-1
- Practice address
- 29 Cambric Cir
Pittsford, NY 14534-4511 - Phone
- (585) 507-9908
- NPI assigned
- Mar 29, 2007
- Last updated
- Sep 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 009690-1 | NY | Primary |
Addresses
Primary practice location
29 Cambric Cir
Pittsford, NY 14534-4511
Mailing address
29 Cambric Cir
Pittsford, NY 14534-4511
Phone (585) 507-9908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250915003585 | NY | Practitioner - Clinical Psychologist | 7517460405 | Practice locations: Pittsford, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Pittsford, NY 14534
Phone (585) 507-9908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009690-1 | NY | MD | Psychologist |
| 009690 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1235258021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CAMBRIC CIR",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344511",
"telephone_number": "585-507-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 CAMBRIC CIR",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344511",
"telephone_number": "585-507-9908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESTENBAUM",
"first_name": "JAMES",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "009690-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.