Organization Active NPI

Kristin M Davin, Psy.D, PC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1396186052
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019599 Issued in NY
Legal business name
KRISTIN M DAVIN, PSY.D, PC
Practice address
164 W 80TH St
Main Floor
New York, NY 10024-6357
Phone
(917) 715-6583
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Kristin M Davin, PSYDNPI 1780774711
Title
Owner
Phone
(917) 715-6583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 019599 NY Primary

Addresses

Primary practice location

164 W 80TH St
Main Floor
New York, NY 10024-6357

Mailing address

164 W 80TH St
Main Floor
New York, NY 10024-6357
Phone (917) 715-6583

National Provider Directory

National Provider Directory

Locations

164 W 80th St
New York, NY 10024
Phone (212) 787-5564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1396186052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W 80TH ST",
            "address_2": "MAIN FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246357",
            "telephone_number": "917-715-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 80TH ST",
            "address_2": "MAIN FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246357",
            "telephone_number": "917-715-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN M DAVIN, PSY.D, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "DAVIN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-715-6583",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.