Individual provider Active NPI

Heather Michelle Kawalick, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1326570847
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
296007-01 Issued in NY
Practice address
124 East 84TH St
Suite 1B, #3
New York, NY 10028-4861
Phone
(212) 360-6285
Fax
(917) 268-9825
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 296007-01 NY Primary

Addresses

Primary practice location

124 East 84TH St
Suite 1B, #3
New York, NY 10028-4861

Mailing address

1775 York Ave Apt 12F
New York, NY 10128-6908
Phone (931) 561-0556

Other practice location 1

1775 York Ave Apt 12F
New York, NY 10128-6908
Phone (931) 561-0556

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105001432 NY Practitioner - Psychiatry 3072851278 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296007-01NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York and Presbyterian Hosp Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Jun 1, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Jun 1, 2022 Accepting new patients
New York Gracie Square Hospital Inc CurrentSince Oct 1, 2020 Accepting new patients
The New York and Presbyterian Hospital Current Accepting new patients
The New York and Presbyterian Hospital CurrentSince Jul 1, 2022 Accepting new patients

Locations

525 E 68th St
#140
New York, NY 10065
Phone (212) 746-3720

156 William St
New York, NY 10038
Phone (646) 962-4679

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1326570847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 YORK AVE APT 12F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286908",
            "telephone_number": "931-561-0556",
            "fax_number": "917-268-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 EAST 84TH ST",
            "address_2": "SUITE 1B, #3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284861",
            "telephone_number": "212-360-6285",
            "fax_number": "917-268-9825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 York Ave Apt 12F",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101286908",
            "country_code": "US",
            "telephone_number": "931-561-0556",
            "fax_number": "917-268-9825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWALICK",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "296007-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.