Kristen Hope Demertzis, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018050 Issued in NY

Practice address

1554 Northern Blvd.
Transitions, 3Rd Floor
Manhasset, NY 11030-3006

Phone

(516) 719-3700

Fax

(516) 365-4748

NPI assigned

Apr 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1265675359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1134",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910489",
            "telephone_number": "516-719-3700",
            "fax_number": "516-365-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 NORTHERN BLVD.",
            "address_2": "TRANSITIONS, 3RD FLOOR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303006",
            "telephone_number": "516-719-3700",
            "fax_number": "516-365-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERTZIS",
        "first_name": "KRISTEN",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "018050",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle L Delpesce, RPA-C
• Gina Deluca, RD, CDN
• Marissa D Deluca, PA-C
• Jared W. Demarco, CRNA
• Melissa Demarco, PA-C
• Naomi-Liza Denning
• George Denoto, M.D.
• Dental Care of Manhasset, P.C.
• John Michael Depietro, NP
• Nina Derek, OTR/L

• Clinical Psychologist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.