Kelly Jean Rhatigan, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0156081 Issued in NY

Practice address

2277 Grand Ave
Baldwin, NY 11510-3148

Phone

(516) 546-6924

Fax

(516) 546-9639

NPI assigned

Oct 24, 2005

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

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• South Nassau Communities Hospital

  • Professional Counselor
  • Oceanside, NY
  • NPI 1356322101
  Medicare reassignment

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487644266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 THOMAS AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104134",
            "telephone_number": "516-771-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103148",
            "telephone_number": "516-546-6924",
            "fax_number": "516-546-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHATIGAN",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0156081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyann Reid, LMHC
• Elisa Linda Reisner, MSW,
• Remodel Net Services Inc
• Juanito E Reyes, PT
• Reyes/Reyes Physical Therapy PLLC
• Kettly Richard, FNP
• Warner Antonio Richards Crawford, PSYD, LMHC
• Gabrielle Aquila Richards, LMSW
• Berthony Riche
• Debra Sue Riddell, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.