Active NPI
Nikki Katsiotas, PHD
- Psychologist
- Astoria, NY
National Provider Identifier
1366086829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 023409
- Practice address
- 3801 23Rd Ave Ste 306
Astoria, NY 11105-1978 - Phone
- (631) 786-0454
- NPI assigned
- Oct 28, 2019
- Sex
- Female
- 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 | 023409 | NY | Primary |
Addresses
Primary practice location
3801 23Rd Ave Ste 306
Astoria, NY 11105-1978
Mailing address
4326 49TH St Apt B4
Sunnyside, NY 11104-1316
Phone (631) 786-0454
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 |
|---|---|---|---|
| 023409 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1366086829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4326 49TH ST APT B4",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111041316",
"telephone_number": "631-786-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 23RD AVE STE 306",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111051978",
"telephone_number": "631-786-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSIOTAS",
"first_name": "NIKKI",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "023409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.