Active NPI
Kathy Kenvin, MS
- Audiologist
- Ardsley, NY
National Provider Identifier
1386900280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000822-1
- Practice address
- 1055 Saw Mill River Rd
Ardsley, NY 10502-1045 - Phone
- (914) 693-7636
- NPI assigned
- Apr 4, 2012
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000822-1 | NY | Primary |
Addresses
Primary practice location
1055 Saw Mill River Rd
Ardsley, NY 10502-1045
Mailing address
1055 Saw Mill River Rd
Ardsley, NY 10502-1045
Phone (914) 693-7636
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000822-1 | NY | MD | Mental Health Counselor |
| 000822 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1386900280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 SAW MILL RIVER RD",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021045",
"telephone_number": "914-693-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 SAW MILL RIVER RD",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021045",
"telephone_number": "914-693-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENVIN",
"first_name": "KATHY",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "000822-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardsley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.