Active NPI
Kerry Christine Paras, PH.D.
- Clinical Psychologist
- Center Moriches, NY
National Provider Identifier
1447550207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015762-1
- Practice address
- 3 Blackberry LN
Center Moriches, NY 11934-1412 - Phone
- (631) 909-3095
- NPI assigned
- Oct 27, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015762-1 | NY | Primary |
Addresses
Primary practice location
3 Blackberry LN
Center Moriches, NY 11934-1412
Mailing address
3 Blackberry LN
Center Moriches, NY 11934-1412
Phone (631) 909-3095
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 |
|---|---|---|---|
| 015762-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1447550207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BLACKBERRY LN",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119341412",
"telephone_number": "631-909-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BLACKBERRY LN",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119341412",
"telephone_number": "631-909-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARAS",
"first_name": "KERRY",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015762-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Moriches, NY
- Laura Otton
- Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic
- Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic
- Mark Pandolfi, LMSW
- Cynthia Lyn Pantol, MASTERS
- Linda Ann Pelosi, R-LCSW
- Gregory Petrucci
- Physical Medicine of Suffolk, LLP
- Andrew Alan Plastrik, MS, SLP
- Lindsey Plitt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.