Elliot Kaminetzky, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022872 Issued in NY

Practice address

90 Broad St Ste 323
New York, NY 10004-2205

Phone

(646) 580-4572

NPI assigned

Oct 17, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1447726419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BROAD ST STE 323",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042205",
            "telephone_number": "646-580-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BROAD ST STE 323",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042205",
            "telephone_number": "646-580-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINETZKY",
        "first_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "83-2032785",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Kaminer, M.D.
• Tammy H Kaminer
• Alana Gross Kaminetsky, PHD
• Jed C Kaminetsky, MD
• David Kaminetzky, M.D.
• Gabrielle Kaminetzky, PH.D.
• Genia Helene Kaminetzky, D.M.D.
• Hideko Kamino, M.D.
• Ashley Rebecca Kaminoff
• Katherine Anna Kaminski, MD

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.