Individual provider Active NPI

Kathryn Cardegna, PHD.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1326469271
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017666 Issued in NY
Practice address
116 Clinton St
Brooklyn, NY 11201-4204
Phone
(347) 404-0931
NPI assigned
Dec 19, 2013
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017666 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

116 Clinton St
Brooklyn, NY 11201-4204

Mailing address

116 Clinton St
Brooklyn, NY 11201-4204
Phone (347) 404-0931

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2013.

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1326469271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014204",
            "telephone_number": "347-404-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014204",
            "telephone_number": "347-404-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDEGNA",
        "first_name": "KATHRYN",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.