Individual provider Active NPI

Adrienne W. Katzow, PHD

  • Clinical Psychologist
  • Irvington, NY
National Provider Identifier
1245512433
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019189-1 Issued in NY
Practice address
90 N Broadway Ste 206
Irvington, NY 10533-3203
Phone
(347) 708-6580
NPI assigned
Sep 13, 2011
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 019189-1 NY Primary

Addresses

Primary practice location

90 N Broadway Ste 206
Irvington, NY 10533-3203

Mailing address

90 N Broadway
Irvington, NY 10533-3200
Phone (347) 708-6580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 25, 2019 through Jun 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
019189NYMDSpeech-Language Pathologist

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1245512433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N BROADWAY",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105333200",
            "telephone_number": "347-708-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N BROADWAY STE 206",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105333203",
            "telephone_number": "347-708-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZOW",
        "first_name": "ADRIENNE",
        "middle_name": "W.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019189-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NY

Sources for this page

Verify at the official NPI Registry.