Individual provider Active NPI

Kenneth A. Oclatis, PH.D.

  • Clinical Psychologist
  • Poughkeepsie, NY
National Provider Identifier
1295820512
Registry record updated Nov 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005723-1 Issued in NY
Practice address
9 Vassar St
Ste 35
Poughkeepsie, NY 12601-3022
Phone
(845) 389-1475
Fax
(845) 876-1342
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2018

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 005723-1 NY Primary

Addresses

Primary practice location

9 Vassar St
Ste 35
Poughkeepsie, NY 12601-3022

Mailing address

57 N Parsonage St
Rhinebeck, NY 12572-1221
Phone (845) 876-7349

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190111001718 NY Practitioner - Clinical Psychologist 2466798442 Reassigns benefits to 1 organization
Practice locations: Rhinebeck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverview Psychiatric Medicine, PCGroup PAC ID 6901395342, 21 clinicians

Practice addresses (Care Compare)

370 Violet Ave
Poughkeepsie, NY 12601-1034
Phone (845) 471-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
005723NYMDMental Health Counselor
005723-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Psychiatric Medicine PC CurrentSince Sep 14, 2025 Accepting new patients
Riverview Psychiatric Medicine, PC Past Accepting new patients

Locations

75 Crystal Run Rd
Ste 103
Middletown, NY 10941
Phone (845) 471-1807

25 Smith St
Ste 314
Nanuet, NY 10954
Phone (845) 471-1807

370 Violet Ave
Poughkeepsie, NY 12601
Phone (845) 471-1807

115 E Stevens Ave
Ste 108
Valhalla, NY 10595
Phone (845) 471-1807

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541203200000",
    "number": "1295820512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 N PARSONAGE ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721221",
            "telephone_number": "845-876-7349",
            "fax_number": "845-876-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VASSAR ST",
            "address_2": "STE 35",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013022",
            "telephone_number": "845-389-1475",
            "fax_number": "845-876-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCLATIS",
        "first_name": "KENNETH",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005723-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.