Eileen Patricia Kavanagh, MD, MPA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

233632 Issued in NY

Practice address

177 Fort Washington Ave
Nine Garden North
New York, NY 10032-3733

Phone

(212) 305-6063

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 5, 2021 through Nov 5, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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": "1407989924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 RIVERSIDE DR # 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251861",
            "telephone_number": "212-316-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 FORT WASHINGTON AVE",
            "address_2": "NINE GARDEN NORTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323733",
            "telephone_number": "212-305-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "EILEEN",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD, MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "233632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Kavaler, MD
• Florence Kavaler, MD
• Jill Kavaler, M.D.
• Leon Kavaler, MD
• Catherine Rose Kavanagh, M.D.
• Gina Marie Kavanagh, AGACNP
• Graham George Kavanagh, PH.D.
• Justena Shea Kavanagh, LCSW-R
• Kandice Kloren Kavanagh, PSYCHIATRIC NP
• Rebecca Kendra Kavanagh, PHARMD, BCACP

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.