Individual provider Active NPI

Daniel Kadish, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1447307822
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
015110-1 Issued in NY
Practice address
231 W 96TH St
Suite 2B
New York, NY 10025-6301
Phone
(917) 400-9141
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 015110-1 NY Primary

Addresses

Primary practice location

231 W 96TH St
Suite 2B
New York, NY 10025-6301

Mailing address

231 W 96TH St
Suite 2B
New York, NY 10025-6301
Phone (917) 400-9141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 23, 2023 through Feb 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015110-1NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1447307822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W 96TH ST",
            "address_2": "SUITE 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256301",
            "telephone_number": "917-400-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W 96TH ST",
            "address_2": "SUITE 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256301",
            "telephone_number": "917-400-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADISH",
        "first_name": "DANIEL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015110-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.