Kendall Godt

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F405021-01 Issued in NY

Practice address

2539 Middle Country Rd
Centereach, NY 11720-3551

Phone

(631) 737-6434

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eric Spronz, Psychiatric Nurse Practitioner P.C.Group PAC ID 5092121855, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eric Spronz, Psychiatric Nurse Practitioner P.C.

  dba East End Neurpsych

  • Geriatric Psychiatry Physician
  • Centereach, NY
  • NPI 1063029411
  Medicare reassignment Care Compare group NPD
• Aldad Medical PC

  • Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1174784953

  NY

  Medicare reassignment NPD
• East End Neuropsychiatric Associates PC

  • Geriatric Psychiatry Physician
  • Centereach, NY
  • NPI 1609863687
  NPD
• Middle Country Family Medicine P C

  • Family Medicine Physician
  • Centereach, NY
  • NPI 1659542827
  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1487338406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BELLE TERRE RD APT 76",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771943",
            "telephone_number": "631-848-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 MIDDLE COUNTRY RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203551",
            "telephone_number": "631-737-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODT",
        "first_name": "KENDALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "796294",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405021-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Aidan Gerrity, PTA
• Janet A Gibbons
• Rosemarie Gili, OTR/L
• Megan Gilmartin
• Debbie Godden, LPN
• Goldenhearts NP in Family Health Care Services, PLLC
• Season Winter Gorny
• Brandon Gutierrez, RN
• Kim A. Haefelin, RN
• Sean Barry Haggerty, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Centereach, NY
• Providers in Centereach, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.