Active NPI
Karolina Pekala, PSY.D.
- Psychologist
- New York, NY
National Provider Identifier
1255732855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 024412
- Practice address
- 177 Prince St FL 4
New York, NY 10012-2946 - Phone
- (646) 980-7606
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 024412 | NY | Primary |
Addresses
Primary practice location
177 Prince St FL 4
New York, NY 10012-2946
Mailing address
177 Prince St FL 4
New York, NY 10012-2946
Phone (646) 980-7606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 27, 2021 through Jul 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024412 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1255732855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 PRINCE ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122946",
"telephone_number": "646-980-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 PRINCE ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122946",
"telephone_number": "646-980-7606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKALA",
"first_name": "KAROLINA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "024412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.