Individual provider Active NPI

Gary Lee Kahn, PH.D.

  • Psychologist
  • Garden City, NY
National Provider Identifier
1356474068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
008600 Issued in NY
Practice address
33 Hamilton PL
Garden City, NY 11530-5922
Phone
(516) 747-0144
NPI assigned
Mar 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 008600 NY Primary

Addresses

Primary practice location

33 Hamilton PL
Garden City, NY 11530-5922

Mailing address

33 Hamilton PL
Garden City, NY 11530-5922
Phone (516) 747-0144

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090303000159 NY Practitioner - Clinical Psychologist 3577629344 Reassigns benefits to 3 organizations
Practice locations: Garden City, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008600NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Jan 5, 2017 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jan 29, 2009 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jan 29, 2009 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Jan 5, 2017 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

111 E 210th St
Bronx, NY 10467

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

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

460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356474068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HAMILTON PL",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305922",
            "telephone_number": "516-747-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HAMILTON PL",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305922",
            "telephone_number": "516-747-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "GARY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "008600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.