Individual provider Active NPI

Chris Samuel Kotsen, PSY.D

  • Psychologist
  • New York, NY
National Provider Identifier
1295999787
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3547 Issued in NJ
Practice address
633 3Rd Ave FL 4
New York, NY 10017-6943
Phone
(646) 888-0042
Fax
(212) 888-2584
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3547 NJ Primary

Addresses

Primary practice location

633 3Rd Ave FL 4
New York, NY 10017-6943

Mailing address

633 3Rd Ave FL 4
New York, NY 10017-6943
Phone (646) 888-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050524001167 NJ Practitioner - Clinical Psychologist 8729020359 Reassigns benefits to 3 organizations
I20190403001375 NY Practitioner - Clinical Psychologist 8729020359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Psychiatry GroupGroup PAC ID 2062301476, 50 clinicians
MSK MonmouthGroup PAC ID 1153619291, 300 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

136 Mountainview Blvd
Basking Ridge, NJ 07920-3444
Phone (908) 542-3000

480 Red Hill Rd
Middletown, NJ 07748-3052
Phone (908) 542-3007

Merit-based Incentive Payment System (MIPS)

Final score
81.57 of 100Reported as group
Quality
72.31
Improvement activities
40
Cost
76.55

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
80.94
Improvement activities
40
Cost
65.19

Merit-based Incentive Payment System (MIPS)

Final score
73.61 of 100Reported as group
Quality
70.88
Improvement activities
40
Cost
46.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3547NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Psychiatry Group CurrentSince Jan 15, 2019 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Mar 1, 2015 Accepting new patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey CurrentSince Jan 15, 2019 Accepting new patients
MSK Monmouth CurrentSince Jan 15, 2019 Accepting new patients
Somerset Medical Center Psychologist Past Accepting new patients
Anxiety & Depression Treatment Center LLC Past Accepting new patients

Locations

136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

205 E 64th St
New York, NY 10065
Phone (212) 639-3127

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Networks

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

Organizations & group practices 6

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1295999787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 3RD AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176943",
            "telephone_number": "646-888-0042",
            "fax_number": "212-888-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 3RD AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176943",
            "telephone_number": "646-888-0042",
            "fax_number": "212-888-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTSEN",
        "first_name": "CHRIS",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.