Active NPI
Mary Kentros, MD
- Psychiatry Physician
- White Plains, NY
National Provider Identifier
1487741567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 184160
- Practice address
- 6 Palmer Avenue
Suite 5
White Plains, NY 10583 - Phone
- (914) 725-6786
- Fax
- (914) 472-5120
- NPI assigned
- Oct 9, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 184160 | NY | Primary |
Addresses
Primary practice location
6 Palmer Avenue
Suite 5
White Plains, NY 10583
Mailing address
6 Palmer Avenue
Suite 5
Scarsdale, NY 10583
Phone (914) 725-6786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2014 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487741567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 PALMER AVENUE",
"address_2": "SUITE 5",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "10583",
"telephone_number": "914-725-6786",
"fax_number": "914-472-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PALMER AVENUE",
"address_2": "SUITE 5",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10583",
"telephone_number": "914-725-6786",
"fax_number": "914-472-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENTROS",
"first_name": "MARY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "184160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.