Active NPI
Russell Karkheck, P.H.D.
- Psychologist
- Pomona, NY
National Provider Identifier
1316273097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8213
- Practice address
- 978 Northside PLZ
L-7
Pomona, NY 10970-3521 - Phone
- (845) 627-6114
- Fax
- (845) 627-8404
- NPI assigned
- Oct 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 8213 | NY | Primary |
Addresses
Primary practice location
978 Northside PLZ
L-7
Pomona, NY 10970-3521
Mailing address
978 Northside PLZ
L-7
Pomona, NY 10970-3521
Phone (845) 627-6114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8213 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1316273097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 NORTHSIDE PLZ",
"address_2": "L-7",
"city": "POMONA",
"state": "NY",
"postal_code": "109703521",
"telephone_number": "845-627-6114",
"fax_number": "845-627-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 NORTHSIDE PLZ",
"address_2": "L-7",
"city": "POMONA",
"state": "NY",
"postal_code": "109703521",
"telephone_number": "845-627-6114",
"fax_number": "845-627-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARKHECK",
"first_name": "RUSSELL",
"credential": "P.H.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-30",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "8213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.