Andrea Barbara Kiss
Individual provider Active NPI Clinical Psychologist · Old Bethpage, NY
NPI 1356099451 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1356099451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 023696 (NY)
- Practice address
- 4 Belair Dr
Old Bethpage, NY 11804-1403 - Phone
- (567) 377-5898
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023696 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023696 | NY | Yes |
Addresses
Primary practice location
4 Belair Dr
Old Bethpage, NY 11804-1403
Mailing address
4 Belair Dr
Old Bethpage, NY 11804-1403
Phone (567) 377-5898
Other providers in Old Bethpage, NY
- June G Kasminoff
- Samantha Kennedy
- Alissa Keschner
- Jodi Michele Kirschner
- Mikelle Lara Kirschner
- Lisa Rachel Koslow
- Debra Krublit
- Marissa Brianne Kubicki
- Michelle Levy
- Life'S Worc
All providers in Old Bethpage, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.